ACTIVSTYLE LLC

NPI # 

Practice Address:

2139 W 95Th St

Chicago, IL, 60643-1018

Practice Phone:

773-783-4600

Practice Fax:

773-783-8333

License Number:

203.001527

License State:

IL

Taxonomy Grouping:

Suppliers

Taxonomy Classification:

Durable Medical Equipment & Medical Supplies

Taxonomy Specialization:

Parenteral & Enteral Nutrition

Taxonomy Code:

332BP3500X

Deactivation Date:

2012-12-28T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2013-03-05T00:00:00.000Z

Updated by NPPES on 1/24/2023. You can view the original data set for NPI # 1407847882 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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ACTIVSTYLE LLC's

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