ACTIVE MEDICAL NAPERVILLE LTD NPI 1023670056

NPI Information

NPI: 1023670056
Provider Name: ACTIVE MEDICAL NAPERVILLE LTD

Doing Business As: ACTIVE MEDICAL CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1811 FREEDOM DR STE 117
NAPERVILLE, IL
ZIP 60563
Phone: (630) 225-8750
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ACTIVE MEDICAL NAPERVILLE LTD is a multi-specialty clinic center in Naperville, IL. ACTIVE MEDICAL NAPERVILLE LTD NPI is 1023670056. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Medical Center.

The provider's business location address is:

1811 FREEDOM DR STE 117
NAPERVILLE, IL
ZIP 60563-703
Phone: (630) 225-8750

The provider's authorized official is Jeremy Joseph Darnell .
The authorized official title is Owner and has the following contact phone number (847) 836-5202.

The enumeration date for this NPI number is 6/29/2019 and was last updated on 5/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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