NPI 1821445180

Active Medical Center LTD

Organisation General Practice Physician West Dundee, IL

Practice location

Address: 754 S 8th St, West Dundee, IL 60118-2102
Phone: (847) 836-5202
Fax: (847) 836-5209

Authorised official

Name: Jeremy Joseph Darnell
Title: President
Phone: (847) 836-5202

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1821445180
Entity type: Organization
NPI issued: 17 May 2016
Record last updated: 17 May 2016

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.