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Organization

ACTIVECARE NETWORK, LLC

Active
Other names
ActiveCare Network
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDI ANN GRUPP (CHIEF EXECUTIVE OFFICER)
(847) 267-9400
Entity
Organization

Contact information

Practice address
2275 HALF DAY RD, SUITE 333, BANNOCKBURN, IL 60015-1217
(847) 267-9400
(847) 267-9411
Mailing address
2275 HALF DAY RD, SUITE 333, BANNOCKBURN, IL 60015-1217
(847) 267-9400
(847) 267-9411

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
11/30/2006
Last updated
08/29/2007
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