Proactive Health Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROACTIVE HEALTH CARE

Doing business as

Grand Clinic

Practice address

2502 N Harlem Ave
Elmwood Park, IL 60707-2020

Phone

(708) 452-1220

Fax

(708) 452-6043

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David L Chen, DCNPI 1427124767

Title

Chiropractic Physician

Phone

(708) 452-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Chen, DC

  • Sports Physician Chiropractor
  • Elmwood Park, IL
  • NPI 1427124767
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003039603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "708-452-1220",
            "fax_number": "708-452-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "708-452-1220",
            "fax_number": "708-452-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "708-452-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1623729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicja B Poleszak, M.D.
• Anthony Orlando Ponzio, D.D.S
• PPD North Avenue LLC (Park Place Dental)
• Presence Ambulatory Services (Presence Immediate Care - Elmwood Park)
• Presence Ambulatory Services
• Prosniewski and Papa PC
• Vanessa Przybyla, APN-CNP
• Psychiatric Consultants of Illinois
• Psychology of Stuff LLC
• PT Chiro Plus LTD

• Chiropractor in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.