OrganizationActive
Activate Healthcare
NPI 1497215933 · Medical Specialty Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1497215933
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Activate Healthcare
- Authorized official
- Jennie Khio, Executive Assistant
Practice location
2010 N Damen Ave Unit F
Chicago, IL 60647-3286
Phone: (708) 669-0430
Mailing address
2010 N Damen Ave Unit F
Chicago, IL 60647-3286
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2019-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.