Organization
ACTIVATE HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A GEIHSLER (PRINCIPAL)
(312) 455-9200
Entity
Organization
Contact information
Practice address
6340 N EWING ST, INDIANAPOLIS, IN 46220-4424
(773) 697-3144
Mailing address
2115 N DAMEN AVE, CHICAGO, IL 60647-4528
(773) 697-3144
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IN
Other
Enumeration date
10/26/2011
Last updated
10/25/2013
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