| NPI | 1659891760 |
|---|---|
| Doing Business As | ACTIVATE HEALTHCARE-LOCAL 392 |
| Entity Type | Organization |
| Authorized Contact | DEBRA GEIHSLER Principal 773-704-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-06-29 |