NORTH SHORE PRO-ACTIVE HEALTH LLC
NPI 1780812784
Chiropractor in Libertyville, IL

Active since June 29, 2009
112 W LAKE ST, LIBERTYVILLE, IL 60048(847) 362-4476(847) 367-5339 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Shore Pro-active Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE PRO-ACTIVE HEALTH LLC (NPI 1780812784) is a healthcare organization registered as a chiropractor in Libertyville, Illinois and active in the NPI registry since June 2009. The organization lists Jordan L Leasure, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780812784
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTH SHORE PRO-ACTIVE HEALTH LLC
Location Address112 W LAKE STLibertyville, IL 60048-1812
Mailing Address112 W Lake StLibertyville, IL 60048-1812 · (847) 362-4476 · Fax (847) 367-5339
Fax(847) 367-5339
Organization SubpartNo
Authorized OfficialJordan L LeasureDoctor · (847) 362-4476
Enumeration DateJune 29, 2009
Last NPPES UpdateMarch 3, 2015
NPI 1780812784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038-010764
Definition
A 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.
112 W LAKE ST, Libertyville, IL 60048

Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
112 W LAKE ST
LIBERTYVILLE, IL 60048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Pro-Active Health LLC's NPI number?

The NPI number for North Shore Pro-Active Health LLC is 1780812784. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is North Shore Pro-Active Health LLC located?

North Shore Pro-Active Health LLC is located at 112 W Lake St, Libertyville, IL 60048. The listed phone number is (847) 362-4476.

What is North Shore Pro-Active Health LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for North Shore Pro-Active Health LLC was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.