Organization · Type 2 NPI

Active Therapeutics, LLC

Clinic/Center · Fox River Grove, IL

NPI number 1831455757 Active

Practice location

906 Il Route 22
Fox River Grove, IL 60021-1905

Fax (847) 428-8615

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0384686-5 (IL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

About NPI 1831455757

Active Therapeutics, LLC's National Provider Identifier is 1831455757, issued on Apr 4, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fox River Grove, IL. The record was last updated on Apr 4, 2012.