- Practice location
- 4555 N Lincoln Ave, Chicago, IL 60625-2102
- Phone
- 773-273-6734
- Fax
- 773-596-1348
- Last updated
- June 25, 2014
Active Wellness, LLC is a healthcare organization based in Chicago, IL. The NPI number for Active Wellness, LLC is 1265847545. The current practice location address is 4555 N Lincoln Ave, Chicago, IL 60625-2102 and the office can be reached by phone at 773-273-6734 and by fax at 773-596-1348. The NPI was assigned on June 25, 2014 and the record was last updated in NPPES on June 25, 2014.
●Provider Profile Details
- NPI Number
- 1265847545
- Provider Name
- Active Wellness, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Andrew Ingley · Manager · 773-273-6734
- Enumeration Date
- June 25, 2014
- Last Update Date
- June 25, 2014
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4555 N Lincoln Ave
Chicago, IL 60625-2102 - City
- Chicago
- State
- Illinois
- ZIP
- 60625-2102
- Country
- US
- Phone Number
- 773-273-6734
- Fax Number
- 773-596-1348
✉Business Mailing Address
- Address
- 118 S Clinton St
Unit 100
Chicago, IL 60661-3628 - City
- Chicago
- State
- IL
- ZIP
- 60661-3628
- Phone Number
- 773-598-4387
- Fax Number
- 773-596-1348
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Chiropractor, Nutrition 193200000X - Multi-Specialty Group | 111NN1001X | No | — | — |
| Chiropractor, Pediatric Chiropractor 193200000X - Multi-Specialty Group | 111NP0017X | No | — | — |
| Chiropractor, Sports Physician 193200000X - Multi-Specialty Group | 111NS0005X | No | — | — |
| Chiropractor, Orthopedic 193200000X - Multi-Specialty Group | 111NX0800X | No | — | — |
| Acupuncturist 193200000X - Multi-Specialty Group | 171100000X | No | — | — |
| Chiropractor 193200000X - Multi-Specialty Group | 111N00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Chicago →?Frequently Asked Questions
What is the NPI number of Active Wellness, LLC?
The NPI number of Active Wellness, LLC is 1265847545. It was assigned on June 25, 2014 and is currently active in the NPPES registry.
What is the specialty of Active Wellness, LLC?
Active Wellness, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Active Wellness, LLC practice?
The practice location is 4555 N Lincoln Ave, Chicago, IL 60625-2102. The office can be reached at 773-273-6734 (phone) or 773-596-1348 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265847545 directly on the NPPES registry website at npiregistry.cms.hhs.gov.