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Contact Information

ACTIVE HEALTH & RESTORATION, LLC
640 E SAINT CHARLES RD
SUITE 107
CAROL STREAM, IL60188-3083
 Phone: 630-923-5049
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE HEALTH & RESTORATION, LLC

NPI # 1154792802
LBN Legal business name ACTIVE HEALTH & RESTORATION, LLC
Authorized official ALEXANDER EARL - (PRESIDENT, CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2015
Last updated 06/24/2016 - About 10 years ago
Identifiers
IL License # 038.012819
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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