Active Life Institute

LBN: Active Life Institute
Active Life Institute is an health care organization with primary practice located at 304 E Ogden Ave , Naperville IL 60563-3159. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Life Institute can be contacted via phone (630) 717-8575, or through Prator, David Mark via phone (630) 717-8575.

Contact Information

Primary practice address
304 E Ogden Ave Naperville IL 60563-3159
Phone: (630) 717-8575
Fax: (630) 717-8573
Website:
Map and Directions
Authorized official contact:
Name: Prator, David Mark Doctor of Chiropractic (DC)
Phone: (630) 717-8575

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1932244423
LBN Legal business name Active Life Institute
DBA Doing business as
Authorized official Prator, David Mark Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932244423 NPPES
Illinois Other DB0886 RAILROAD #
Illinois Other 02232434 RAILROAD #
Illinois Other 7268512 RAILROAD #
Illinois Other P00086076 RAILROAD #

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