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Organization
ACTIVATE HEALTHCARE
Active
Organization
ACTIVATE HEALTHCARE
Active
Parent organization
ACTIVATE HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVATE HEALTHCARE
Authorized official
MISS JENNIE KHIO (EXECUTIVE ASSISTANT)
(708) 248-8592
Entity
Organization
Contact information
Practice address
2010 N DAMEN AVE UNIT F, CHICAGO, IL 60647-3286
(708) 669-0430
Mailing address
2010 N DAMEN AVE UNIT F, CHICAGO, IL 60647-3286
(708) 669-0430
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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