Organization
ACTIVATE HEALTHCARE - CHC NELLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (PRINCIPAL)
(847) 343-9190
Entity
Organization
Contact information
Practice address
650 N NELLIS BLVD, LAS VEGAS, NV 89110-5382
(702) 691-8181
Mailing address
2010 N DAMEN AVE, SUITE F, CHICAGO, IL 60647-3284
(773) 697-3144
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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