Organization
ACTIVECARE NETWORK, LLC
Active
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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