Activate Healthcare

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ACTIVATE HEALTHCARE

Practice address

2010 N Damen Ave Unit F
Chicago, IL 60647-3286

Phone

(708) 669-0430

NPI assigned

Mar 21, 2019

Organization subpart

Yes

Parent organization

ACTIVATE HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Miss Jennie Khio

Title

Executive Assistant

Phone

(708) 248-8592

Specialties & licenses 1

Addresses

Part of

Activate Healthcare

Locations

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1497215933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473286",
            "telephone_number": "708-669-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473286",
            "telephone_number": "708-669-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVATE HEALTHCARE",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "KHIO",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "708-248-8592",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Acquaye-Awah, M.D.
• Acs Home Health Services
• Action to Healing, LLC
• Action-Oriented Therapy PLLC
• Activa Medical Supplies Inc
• Activation Physical Therapy LLC
• Active Balance LLC
• Active Body Chiropractic LTD
• Active Foot & Ankle Associates PC
• Active Health Centers, LTD.

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.