Active Medical Center | |
1811 Freedom Dr Ste 117 Naperville IL 60563-5703 | |
(630) 225-8750 | |
Not Available |
Full Name | Active Medical Center |
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Speciality | Clinic/center - Multi-specialty |
Location | 1811 Freedom Dr Ste 117, Naperville, Illinois |
Authorized Official Name and Position | Jeremy Joseph Darnell (OWNER) |
Authorized Official Contact | 8478365202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Active Medical Center 1811 Freedom Dr Ste 117 Naperville IL 60563-5703 Ph: (630) 225-8750 | Active Medical Center 1811 Freedom Dr Ste 117 Naperville IL 60563-5703 Ph: (630) 225-8750 |
NPI Number | 1023670056 |
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Provider Enumeration Date | 06/29/2019 |
Last Update Date | 05/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023670056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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