Active Wellness, Llc

LBN: Active Wellness, Llc
Active Wellness, Llc is an health care organization with primary practice located at 4555 N Lincoln Ave , Chicago IL 60625-2102. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Pediatric Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is the primary health care specialty. Active Wellness, Llc can be contacted via phone (773) 328-8153, or through Ingley, Andrew via phone (813) 220-9113.

Contact Information

Primary practice address
4555 N Lincoln Ave Chicago IL 60625-2102
Phone: (773) 328-8153
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingley, Andrew
Phone: (813) 220-9113

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 24800594 Illinois
Chiropractic Providers / Nutrition 111NN1001X 24800594 Illinois
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 24800594 Illinois
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1902162662
LBN Legal business name Active Wellness, Llc
DBA Doing business as
Authorized official Ingley, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2012
Last updated Feb 14th, 2014 - about 10 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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