OrganizationActive
Pediatric and Adolescent Healthy Lifestyle Center, LLC
NPI 1649518010 · Pediatrics Physician · Downers Grove, IL
Provider details
- NPI number
- 1649518010
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Morounkeji Akin-Olugbemi, Medical Director(847) 207-1121
- License
- 036-096730 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 Ogden Ave
Downers Grove, IL 60515-1708
Phone: (847) 207-1121
Fax: (630) 310-8614
Street-level locationGet directions
Mailing address
2525 Ogden Ave
Downers Grove, IL 60515-1708
Registry dates
- Enumerated
- 2013-01-20
- Last updated
- 2013-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.