OrganizationActive
Active Medical Supply Co.
NPI 1114255957 · Durable Medical Equipment & Medical Supplies · Willow Springs, IL
Provider details
- NPI number
- 1114255957
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kelly Heneghan, President(708) 878-3736
Specialties & taxonomies
Suppliers
Practice location
8434 Corcoran Rd
Willow Springs, IL 60480-1666
Phone: (708) 878-3736
Approximate (ZIP-level) locationGet directions
Mailing address
8434 Corcoran Rd
Willow Springs, IL 60480-1666
Registry dates
- Enumerated
- 2009-12-04
- Last updated
- 2009-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.