ACTIVATE HEALTHCARE - LOCAL 23 CLINIC


Address: 3413 Colony Bay, Rockford, IL 61109
Phone: 7793680757

ACTIVATE HEALTHCARE - LOCAL 23 CLINIC (NPI# 1841720315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841720315
Entity Type Organization
Organization Name ACTIVATE HEALTHCARE - LOCAL 23 CLINIC
Practice Address 3413 Colony Bay
Rockford
IL 61109
Mailing Address 2010 N Damen Ave Unit F
Chicago
IL 60647-3286
Practice Telephone 7793680757
Practice Fax Number 7793680758
Mailing Telephone 7736973144
Mailing Fax Number 8728082119
Enumeration Date 2017-06-15
Last Update Date 2018-11-07
Authorized Official Name DEBRA GEIHSLER (PRINCIPAL)
Authorized Official Telephone 7736973144
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 3413 COLONY BAY
City ROCKFORD
State IL
Zip Code 61109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487164398 Linda A Morel Speech-Language Pathologist 6129 Valley Knoll Drive, Rockford, IL 61109 2017-10-05
1255430062 Suzanne E. Wang Nurse Practitioner 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 2006-09-21
1073597498 Peter Joseph Gunther Optometrist 2995 Eastrock Dr, Rockford, IL 61109 2005-11-30
1104482769 Catherine L Hill Nurse's Aide 2831 Bildahl St, Rockford, IL 61109-1136 2019-05-18
1962671701 Rosecrance, Inc. Substance Abuse Rehabilitation Facility 3522 Green Dale Dr, Rockford, IL 61109-1575 2008-02-26
1326174665 Lloyd Hearing Aid Corp Hearing Instrument Specialist 4435 Manchester Dr, Rockford, IL 61109-1655 2007-02-23
1710965439 Gary Michael Briden Family Medicine 4423 Manchester Dr, Rockford, IL 61109-1655 2006-01-03
1386092625 Andrew Palmquist Hearing Instrument Specialist 4435 Manchester Dr, Rockford, IL 61109-1655 2016-05-26
1851324289 Reginald Dinan Quart Family Medicine 4423 Manchester Dr, Rockford, IL 61109-1655 2006-07-09
1053357624 Judith Ann Giolitto Family Medicine 4423 Manchester Dr, Rockford, IL 61109-1655 2006-06-21
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871983726 Patients Choice Medical Center Ltd Clinic/Center 7431 E State St, Unit 227, Rockford, IL 61108-2678 2015-01-30
1801051669 Andrea K Gale Dc, LLC Clinic/Center 2826 Woodhill Dr, Rockford, IL 61114-6340 2008-07-22
1891965828 Dionne Chiropractic Offices, P.C. Clinic/Center 6411 Bella Vista Dr Ne, Rockford, MI 49341-7869 2008-03-05

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NPI Name Taxonomy Address Enumeration
1275133985 Activate Healthcare Clinic/Center 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 2020-10-30
1841899788 Neuro Drive Pt, Pllc Clinic/Center 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 2020-10-21
1952929119 Gray Healthcare Consulting Pllc Clinic/Center 57 Northgate Rd, Riverside, IL 60546-1638 2020-07-13
1225664683 Men's Clinic, Pllc Clinic/Center 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 2020-03-18
1396389417 Hirsch Advanced Practice Providers Ltd Clinic/Center 11422 S Western Ave, Chicago, IL 60643-4120 2019-10-31
1497308761 Exquisite Care Spa and Wellness Inc. Clinic/Center 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 2019-07-16
1437612405 Voice of Reason Counseling, LLC Clinic/Center 6634 S Knox Ave, Chicago, IL 60629-5643 2019-04-08
1215499405 Leading Physician Partners Aco LLC Clinic/Center 715 W Lake St Ste 202, Addison, IL 60101-2082 2019-04-05
1346708815 Erin Conway, Psyd, PC Clinic/Center 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 2019-03-04
1891252078 Essence Healthcare Services LLC Clinic/Center 10449 Venice Ln, Orland Park, IL 60467-8218 2019-02-25
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Competitor

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City ROCKFORD
Zip Code 61109

Improve Information

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Dataset Information

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.

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