Organization
ACTIVE HEALTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N PANOPOULOS D.C. (PRESIDENT)
(847) 739-3120
Entity
Organization
Contact information
Practice address
1550 N NORTHWEST HWY STE 206, PARK RIDGE, IL 60068-1459
(847) 739-3120
(847) 886-4025
Mailing address
PO BOX 2308, GLEN ELLYN, IL 60138-2308
(847) 739-3120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.9079
IL
Other
Enumeration date
02/09/2012
Last updated
01/08/2024
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