Active Health & Restoration, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038.012819 Issued in IL

Legal business name

ACTIVE HEALTH & RESTORATION, LLC

Practice address

640 E Saint Charles Rd
Suite 107
Carol Stream, IL 60188-3083

Phone

(630) 923-5049

NPI assigned

Oct 7, 2015

Last updated

Jun 24, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexander Earl, D.C.NPI 1043693575

Title

President, Clinic Director

Phone

(630) 923-5049

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander E Earl, DC

  • Rehabilitation Chiropractor
  • Carol Stream, IL
  • NPI 1043693575
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1154792802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E SAINT CHARLES RD",
            "address_2": "SUITE 107",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883083",
            "telephone_number": "630-923-5049",
            "fax_number": "630-344-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E SAINT CHARLES RD",
            "address_2": "SUITE 107",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883083",
            "telephone_number": "630-923-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH & RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT, CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-923-5049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.012819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Abbasi, PA
• Christine Margaret Abt, APN, CS.
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Accurate Surgical Assist
• Georgene Acquaah
• Courtney Michelle Adams, LCSW
• Anthony Adeniran, MD
• Advantage MRI-Carol Stream, LLC
• Adventist Health Partners, Inc (Integro Family Health Center)
• Affinity Pharmacy Care LLC

• Rehabilitation Chiropractor in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.