OrganizationActive
Advanced Health Services, Inc.
NPI 1407914153 · Customized Equipment (DME) · Libertyville, IL
Provider details
- NPI number
- 1407914153
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Andrew Mouton, Owner(708) 364-0261
- License
- 203000642 (IL)
Specialties & taxonomies
Suppliers
Practice location
900 Technology Way
Suite 120
Libertyville, IL 60048-5364
Phone: (847) 231-4507
Fax: (708) 364-9607
Approximate (ZIP-level) locationGet directions
Mailing address
10646 165th St
Orland Park, IL 60467-8734
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2014-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.