# LIVE IGNITE THRIVE LIMITED

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

## Provider details

- **NPI number:** 1184221004
- **Authorized official:** ADAM WELDZIUS (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 452-6533

## Contact information

- **Practice address:** 15614 S HARLEM AVE STE C, ORLAND PARK, IL 60462-4401
- **Practice address phone:** (708) 866-5900
- **Practice address fax:** (708) 866-5903
- **Mailing address:** 2345 E OFFNER RD, BEECHER, IL 60401-3784
- **Mailing address phone:** (847) 452-6533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2020
- **Last updated:** 09/02/2021