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Contact Information

ACTIVECARE NETWORK, LLC
2275 HALF DAY RD
SUITE 333
BANNOCKBURN, IL60015-1217
 Phone: 847-267-9400
 Fax: 847-267-9411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ACTIVECARE NETWORK, LLC

NPI Number 1083782155
LBN Legal business name ACTIVECARE NETWORK, LLC
Authorized official JUDI GRUPP - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 08/29/2007 - About 19 years ago
Identifiers n/a
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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