Provider Demographics
NPI:1639985781
Name:ACTIVE CARE PHYSICAL MEDICINE
Entity type:Organization
Organization Name:ACTIVE CARE PHYSICAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAJCINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-401-2901
Mailing Address - Street 1:1066 APPLE LN
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4030
Mailing Address - Country:US
Mailing Address - Phone:630-401-2901
Mailing Address - Fax:
Practice Address - Street 1:216 E SAINT CHARLES RD
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2331
Practice Address - Country:US
Practice Address - Phone:630-401-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty