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Activstyle Llc
Parenteral & Enteral Nutrition Supplies (DME) in Chicago, Illinois
NPI 1407847882

Activstyle Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Plymouth Meeting, IL and is specialized in Parenteral & Enteral Nutrition. Activstyle Llc practices in Chicago, IL. The NPI Number for Activstyle Llc is 1407847882 and holds a License No. 203000538 (Illinois).

The current practice location address for Activstyle Llc is 2139 W 95Th St, Chicago, IL and can be reached out via phone at 773-783-4600 and via fax at 773-783-8333.

Location: 2139 W 95Th St, Chicago, IL, 19462-1437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407847882
Provider Name
Activstyle Llc
Credential
Provider Entity Type
Organization
Address
2139 W 95Th St, Chicago, IL, 19462-1437
Phone Number
773-783-4600
Fax Number
773-783-8333
Provider Enumeration Date
11/03/2005
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2139 W 95Th St
City
Chicago
State
Illinois
Zip
60643-1018
Phone Number
773-783-4600
Fax Number
773-783-8333
person
Provider Business Mailing Address Details
Address
2139 W 95Th St
City
Chicago
State
Illinois
Zip
60643-1018
Phone Number
773-783-4600
Fax Number
773-783-8333
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
203.001527 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
203000538 (Illinois)
Definition
Definition to come...
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