| NPI | 1023670056 |
|---|---|
| Doing Business As | ACTIVE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEREMY JOSEPH DARNELL Owner 847-836-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2020-05-06 |