# PRO ACTIVE HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1922397322
- **Authorized official:** MS. SHARIFFA HANNA F. MOHAMMAD B.S.N. R.N. (DIRECTOR OF NURSING)
- **Authorized official phone:** (773) 507-6464

## Contact information

- **Practice address:** 4350 OAKTON STREET, SUITE 206, SKOKIE, IL 60076-3270
- **Practice address phone:** (773) 507-6464
- **Mailing address:** 4350 OAKTON ST, SUITE 206, SKOKIE, IL 60076-3270
- **Mailing address phone:** (773) 507-6464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 10/17/2012