| Active Medical Center Ltd | |
|
754 S 8th St West Dundee IL 60118-2102 | |
| (847) 836-5202 | |
| (847) 836-5209 |
| Full Name | Active Medical Center Ltd |
|---|---|
| Speciality | General Practice |
| Location | 754 S 8th St, West Dundee, Illinois |
| Authorized Official Name and Position | Jeremy Joseph Darnell (PRESIDENT) |
| Authorized Official Contact | 8478365202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Medical Center Ltd 754 S 8th St West Dundee IL 60118-2102 Ph: (847) 836-5202 | Active Medical Center Ltd 754 S 8th St West Dundee IL 60118-2102 Ph: (847) 836-5202 |
| NPI Number | 1821445180 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821445180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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