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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
3413 COLONY BAY |
City | ROCKFORD |
State | IL |
Zip Code | 61109 |
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 |
Find all providers in zip 61109 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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 |
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 |
Find all providers with the same taxonomy |
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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.