# ACTIVE HEALTH & RESTORATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154792802
- **Authorized official:** DR. ALEXANDER EARL D.C. (PRESIDENT, CLINIC DIRECTOR)
- **Authorized official phone:** (630) 923-5049

## Contact information

- **Practice address:** 640 E SAINT CHARLES RD, SUITE 107, CAROL STREAM, IL 60188-3083
- **Practice address phone:** (630) 923-5049
- **Mailing address:** 640 E SAINT CHARLES RD, SUITE 107, CAROL STREAM, IL 60188-3083
- **Mailing address phone:** (630) 923-5049
- **Mailing address fax:** (630) 344-0963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038.012819 | IL | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 06/24/2016