| Active Health Ltd | |
|
1550 N Northwest Hwy Ste 206, Park Ridge, IL 60068-1459 | |
| (847) 739-3120 | |
| (847) 886-4025 |
| Full Name | Active Health Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1550 N Northwest Hwy Ste 206, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104199983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.9079 (Illinois) | Primary |
| Provider Name | John N Panopoulos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124093570 PECOS PAC ID: 5597796870 Enrollment ID: I20050826000074 |
| Provider Name | Panagiota B Stasinos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467577056 PECOS PAC ID: 8224048210 Enrollment ID: I20060504000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Ltd Po Box 2308, Glen Ellyn, IL 60138-2308 Ph: (847) 739-3120 | Active Health Ltd 1550 N Northwest Hwy Ste 206, Park Ridge, IL 60068-1459 Ph: (847) 739-3120 |
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