# ELEVATE ACTIVE HEALTH PLLC

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

## Provider details

- **NPI number:** 1164296224
- **Authorized official:** MISS OLUYEMISI OLOKODANA (CREDENTIALING CONTACT)
- **Authorized official phone:** (301) 755-3380

## Contact information

- **Practice address:** 2200 WAUKEGAN RD, GLENVIEW, IL 60025-1759
- **Practice address phone:** (847) 558-7670
- **Practice address fax:** (888) 202-3110
- **Mailing address:** PO BOX 7433, BRECKENRIDGE, CO 80424-7433
- **Mailing address phone:** (874) 558-7670
- **Mailing address fax:** (888) 202-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 11/09/2023