ACTIVE THERAPEUTICS, LLC (NPI# 1831455757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831455757 |
| Entity Type | Organization |
| Organization Name | ACTIVE THERAPEUTICS, LLC |
| Practice Address |
906 Il Route 22 Fox River Grove IL 60021-1905 |
| Practice Telephone | 8477425757 |
| Practice Fax Number | 8474288615 |
| Mailing Telephone | 8477425757 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | MICHAEL COLLURA (PRESIDENT) |
| Authorized Official Telephone | 8478298708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0384686-5 | IL | Ambulatory Health Care Facilities |
| Street Address |
906 IL ROUTE 22 |
| City | FOX RIVER GROVE |
| State | IL |
| Zip Code | 60021-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385717 | Fenglan Chen | Acupuncturist | 902 W Route 22, Fox River Grove, IL 60021 | 2018-11-26 |
| 1053580357 | Ultra Care Inc | Durable Medical Equipment & Medical Supplies | 906 Illinois Rt 22, Fox River Grove, IL 60021 | 2008-02-21 |
| 1962532150 | James E Hutchins | Specialist | 912 Northwest Highwya, Suite 104, Hutchins Naprapathic Clinic, P.C., Fox River Grove, IL 60021 | 2007-03-06 |
| 1598807075 | Pediatric Associates of Barrington, S.c. | Clinic/Center | 912 Northwest Highway, Suite G-7, Fox River Grove, IL 60021 | 2007-02-13 |
| 1487724845 | Linda A Yasukawa | Physical Therapist | 922 Route 22, Fox River Grove, IL 60021 | 2006-11-09 |
| 1780763516 | Sunil N Kadakia | Internal Medicine | 912 W Northeast Hwy, #100, Fox River Grove, IL 60021 | 2006-11-03 |
| 1154431765 | Bryan David Stahl | Dentist | 1109 Lincoln Ave, Fox River Grove, IL 60021 | 2006-08-30 |
| 1891177838 | Steven Kipferl | Podiatrist | 912 Northwest Hwy, Ste G6, Fox River Grove, IL 60021 | 2015-06-26 |
| 1245657568 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 800 Northwest Hwy, Fox River Grove, IL 60021 | 2014-03-25 |
| 1134382468 | Margaret B Stefani | Pediatrics | 912 Northwest Highway, Suite G-7, Fox River Grove, IL 60021 | 2008-07-07 |
| Find all providers in zip 60021 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | FOX RIVER GROVE |
| Zip Code | 60021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.