GRAND CLINIC (PROACTIVE HEALTH CARE) NPI 1003039603

Chiropractor in Elmwood Park, IL

NPI 1003039603 Organization Chiropractor

About GRAND CLINIC (PROACTIVE HEALTH CARE)

Grand Clinic (proactive Health Care) is a provider established in Elmwood Park, Illinois specializing in chiropractor. The NPI number of Grand Clinic (proactive Health Care) is 1003039603 and was assigned on April 2007. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Grand Clinic (proactive Health Care) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Grand Clinic. The authorized official of this NPI record is Dr. David L Chen Dc (Chiropractic Physician)

A chiropractor like Grand Clinic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1003039603

Provider NameGRAND CLINIC (PROACTIVE HEALTH CARE)
Provider Location Address2502 N HARLEM AVE ELMWOOD PARK, IL 60707
Provider Mailing Address2502 N HARLEM AVE ELMWOOD PARK, IL 60707
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameGRAND CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date04-11-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License StateIL
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

GRAND CLINIC
2502 N HARLEM AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 452-1220
Fax: (708) 452-6043

Get Directions


Mailing Address

GRAND CLINIC
2502 N HARLEM AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 452-1220
Fax: (708) 452-6043



Authorized Official

Authorized Official NameDR. DAVID L CHEN DC
Authorized Official TitleCHIROPRACTIC PHYSICIAN
Authorized Official Phone(708) 452-1220

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1623729OTHER (01)IL

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427124767DR. DAVID L CHEN DC
Individual
Chiropractor (Sports Physician)2502 N HARLEM AVE
ELMWOOD PARK, IL 60707
(708) 452-1220
1831339035GRAND HARLEM MEDICAL CENTER, URGENT CARE LLC
Organization
Family Medicine2502 N HARLEM AVE
ELMWOOD PARK, IL 60707
(708) 452-1220
1386948784MR. ANTONIO F PUGLIESE DN
Individual
Naprapath2502 N HARLEM AVE
ELMWOOD PARK, IL 60707
(708) 308-8669
1811514086 BERNADETTA MARTIN LMT
Individual
Massage Therapist2502 N HARLEM AVE
ELMWOOD PARK, IL 60707
(708) 800-6179

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.