OrganizationActive
Direct Alpha Health Corp
NPI 1851551048 · Non-Pharmacy Dispensing Site · Olympia Fields, IL
Provider details
- NPI number
- 1851551048
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- J B Tate, President(708) 283-2511
- License
- 004.002239 (IL)
Specialties & taxonomies
Suppliers
Practice location
19900 Governors Dr Ste 16
Olympia Fields, IL 60461-1059
Phone: (708) 283-2511
Approximate (ZIP-level) locationGet directions
Mailing address
19900 Governors Dr Ste 16
Olympia Fields, IL 60461-1059
Registry dates
- Enumerated
- 2008-06-11
- Last updated
- 2008-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.