Active Therapeutics, LLC
NPI #1831455757 in Fox River Grove, Illinois
Provider Information
- NPI Number
- 1831455757
- Entity Type
- Organization
- Organization Name
- Active Therapeutics, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 4, 2012
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- 906 IL ROUTE 22
- City
- Fox River Grove
- State
- Illinois
- ZIP Code
- 60021-1905
- Phone
- (847) 742-5757
Authorized Official
- Name
- MICHAEL COLLURA
- Title
- PRESIDENT
- Phone
- (847) 829-8708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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