NPI 1083782155

Activecare Network, LLC

Organisation Non-Pharmacy Dispensing Site Bannockburn, IL

Practice location

Address: 2275 Half Day Rd Suite 333, Bannockburn, IL 60015-1217
Phone: (847) 267-9400
Fax: (847) 267-9411

Authorised official

Name: Judi Ann Grupp
Title: Chief Executive Officer
Phone: (847) 267-9400

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1083782155
Entity type: Organization
NPI issued: 30 Nov 2006
Record last updated: 29 Aug 2007

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.