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NPI 1902162662

OrganizationActive

Active Wellness, LLC

NPI 1902162662 · Chiropractor · Chicago, IL

Provider details

NPI number: 1902162662
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Andrew Ingley, General Manager
License: 24800594 (IL)

Practice location

4555 N Lincoln Ave

Chicago, IL 60625-2102

Phone: (773) 328-8153

More IL providers

Mailing address

4555 N Lincoln Ave

Chicago, IL 60625-2102

Registry dates

Enumerated: 2012-04-06
Last updated: 2014-02-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Active Wellness, LLC — NPI 1902162662, Chicago, IL | NPI Central