OrganizationActive
Living Healthy Inc
NPI 1821379736 · Registered Nurse · Broadview, IL
Provider details
- NPI number
- 1821379736
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Wanda Stallings, President(708) 343-0682
- License
- 041-222787 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
2205 W Roosevelt Road
Broadview, IL 60155
Phone: (708) 343-0682
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 5002
River Forest, IL 60305
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.