NPIMap

Active Wellness LLC

A Medicare group practice based in Chicago, IL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3072752864), with 59 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072752864The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20130627000369 IL Part B Supplier - Clinic/Group Practice 1902162662

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 59

Clinicians who reassign their Medicare benefits to this group (59) or whom Care Compare lists as members (21).

Sources for this page