ACTIVE MEDICAL SUPPLY CO. NPI 1114255957

NPI Information

  • NPI: 1114255957
  • Provider Name: ACTIVE MEDICAL SUPPLY CO.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 8434 CORCORAN RD
    WILLOW SPRINGS, IL
    ZIP 60480
  • Phone: (708) 878-3736

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NPI Details

ACTIVE MEDICAL SUPPLY CO. is a durable medical equipment medical supplies in Willow Springs, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE MEDICAL SUPPLY CO. NPI is 1114255957. The provider is registered as an organization entity type.

The provider's business location address is:

8434 CORCORAN RD
WILLOW SPRINGS, IL
ZIP 60480-666
Phone: (708) 878-3736

The provider's authorized official is Kelly Anne Heneghan .
The authorized official title is President and has the following contact phone number (708) 878-3736.

The enumeration date for this NPI number is 12/4/2009 and was last updated on 12/4/2009.

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
1332B00000XDurable Medical Equipment & Medical SuppliesILLINOISYes

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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