- Practice location
- 2212 W North Ave, Chicago, IL 60647-8467
- Phone
- 312-266-6160
- Fax
- —
- Last updated
- July 6, 2009
Activa Medical Supplies INC is a healthcare organization based in Chicago, IL. Activa Medical Supplies INC practices in Chicago, IL. The NPI Number for Activa Medical Supplies INC is 1588676233 and holds a License No. 203000704 (IL). The current practice location address for Activa Medical Supplies INC is 2212 W North Ave, Chicago, IL 60647-8467 and can be reached out via phone at 312-266-6160.
Provider Profile Details
- NPI Number
- 1588676233
- Provider Name
- Activa Medical Supplies INC
- Provider Entity Type
- Organization
- Address
- 2212 W North Ave, Chicago, IL 60647-8467
- Phone Number
- 312-266-6160
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Maria Smekhov · Owner · 312-266-6160
- Provider Enumeration Date
- August 12, 2006
- Last Update Date
- July 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2212 W North Ave
Chicago, IL 60647-8467 - City
- Chicago
- State
- Illinois
- Zip
- 60647-8467
- Phone Number
- 312-266-6160
Provider Business Mailing Address Details
- Address
- 1901 N Mohawk St
Chicago, IL 60614-5219 - City
- Chicago
- State
- IL
- Zip
- 60614-5219
- Phone Number
- 312-266-6160
License Information
- License Number
- 203000704
- License State
- IL
- Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Activa Medical Supplies INC?
The NPI number of Activa Medical Supplies INC is 1588676233. It was assigned on August 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Activa Medical Supplies INC?
Activa Medical Supplies INC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X), licensed in IL under license number 203000704.
Where does Activa Medical Supplies INC practice?
The practice location is 2212 W North Ave, Chicago, IL 60647-8467. The office can be reached at 312-266-6160 (phone).
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 1588676233 directly on the NPPES registry website.