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

Q: 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.

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

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

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: October 18, 2026.

On this page

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

Phone(847) 362-4476

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

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Pro-active Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Shore Pro-Active Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Leasure, D.C.

Chiropractic

NPI 1568563054

112 LAKE ST
Libertyville, IL 60048

(847) 542-4476

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is North Shore Pro-Active Health LLC enrolled in Medicare?

Yes. North Shore Pro-Active Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Pro-Active Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to North Shore Pro-Active Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.