# ACTIVE THERAPEUTICS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831455757
- **Authorized official:** MICHAEL COLLURA (PRESIDENT)
- **Authorized official phone:** (847) 829-8708

## Contact information

- **Practice address:** 906 IL ROUTE 22, FOX RIVER GROVE, IL 60021-1905
- **Practice address phone:** (847) 742-5757
- **Practice address fax:** (847) 428-8615
- **Mailing address:** 906 IL ROUTE 22, FOX RIVER GROVE, IL 60021-1905
- **Mailing address phone:** (847) 742-5757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0384686-5 | IL | Yes |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 04/04/2012