ACTIVE HEALTH LTD NPI 1104199983

NPI Information

  • NPI: 1104199983
  • Provider Name: ACTIVE HEALTH LTD
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 14D2116287
  • Address: 1550 N NORTHWEST HWY STE 206
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 739-3120

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NPI Details

ACTIVE HEALTH LTD is a chiropractor in Park Ridge, IL. The provider is 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. ACTIVE HEALTH LTD NPI is 1104199983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 N NORTHWEST HWY STE 206
PARK RIDGE, IL
ZIP 60068-459
Phone: (847) 739-3120
Fax: (847) 886-4025

The provider's authorized official is John N Panopoulos .
The authorized official title is President and has the following contact phone number (847) 739-3120.

The CLIA number assigned to this NPI record is 14D2116287 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 1/8/2024.

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
1111N00000XChiropractor038.9079ILLINOISYes

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: 11/21/2025

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