Active Wellness Llc

LBN: Active Wellness Llc
Active Wellness Llc is an health care organization with primary practice located at 560 W Diversey Pkwy , Chicago IL 60614. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Sports Physician, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is the primary health care specialty. Active Wellness Llc can be contacted via phone (773) 524-6830, or through Ingley, Andrew via phone (813) 220-9113.

Contact Information

Primary practice address
560 W Diversey Pkwy Chicago IL 60614
Phone: (773) 524-6830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingley, Andrew
Phone: (813) 220-9113

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Chiropractic Providers / Nutrition 111NN1001X
Chiropractic Providers / Pediatric Chiropractor 111NP0017X
Chiropractic Providers / Sports Physician 111NS0005X
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1891120408
LBN Legal business name Active Wellness Llc
DBA Doing business as
Authorized official Ingley, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated Oct 2nd, 2013 - about 11 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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