Organization
ACTIVATE HEALTHCARE
Active
Parent organization
ACTIVATE HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVATE HEALTHCARE
Authorized official
MISS JENNIE KHIO (EXECUTIVE ASSISTANT)
(708) 248-8592
Entity
Organization
Contact information
Practice address
2010 N DAMEN AVE UNIT F, CHICAGO, IL 60647-3286
(708) 669-0430
Mailing address
2010 N DAMEN AVE UNIT F, CHICAGO, IL 60647-3286
(708) 669-0430
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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