OrganizationActive
Active Healthcare, Ltd
NPI 1295858629 · Multi-Specialty Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1295858629
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Leslie Bulyaki, President
Practice location
5315 N Sheridan Rd
Chicago, IL 60640-2531
Phone: (773) 275-3200
Fax: (773) 275-2877
Mailing address
5315 N Sheridan Rd
Chicago, IL 60640-2531
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.