OrganizationActive
360 Active Recovery
NPI 1619428273 · Health Service Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1619428273
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Julius Hearn, Ceo
- License
- 2487457 (IL)
Mailing address
2221 W. North Ave
Chicago, IL 60647
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.