NPI 1023670056
Active Medical Naperville LTD
Practice location
- Address
- 1811 Freedom Dr STE 117, Naperville, IL 60563-5703
- Phone
- (630) 225-8750
Authorised official
- Name
- Jeremy Joseph Darnell
- Title
- Owner
- Phone
- (847) 836-5202
Registered specialties
Multi-Specialty Clinic/Center
Primary
Registry record
- NPI
- 1023670056
- Entity type
- Organization
- NPI issued
- 29 Jun 2019
- Record last updated
- 6 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.