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ACTIVE HEALTH LTD
NPI 1104199983
Chiropractor in Park Ridge, IL

Active since February 09, 2012CLIA 14D2116287 · Waiver
1550 N NORTHWEST HWY STE 206, PARK RIDGE, IL 60068(847) 739-3120(847) 886-4025 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Health Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE HEALTH LTD (NPI 1104199983) is a healthcare organization registered as a chiropractor in Park Ridge, Illinois and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists John N Panopoulos, President, as its authorized official.

NPPES Registry Identity

NPI1104199983
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE HEALTH LTD
Location Address1550 N NORTHWEST HWY STE 206Park Ridge, IL 60068-1459
Mailing AddressPo Box 2308Glen Ellyn, IL 60138-2308 · (847) 739-3120
Phone(847) 739-3120
Fax(847) 886-4025
Organization SubpartNo
Authorized OfficialJohn N PanopoulosPresident · (847) 739-3120
Enumeration DateFebruary 9, 2012
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1104199983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.9079
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1550 N NORTHWEST HWY STE 206, Park Ridge, IL 60068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2116287

Active Health Ltd · Park Ridge, IL
Active · expires Jul 21, 2028
CLIA Number14D2116287
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorJohn N. Panopoulos
Laboratory Phone(847) 739-3120
Laboratory LocationActive Health Ltd1550 N Northwest Hwy, Ste 206, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN N PANOPOULOS DC
Chiropractor
1550 N NORTHWEST HWY STE 206
PARK RIDGE, IL 60068
Cook County (847) 739-3120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Health Ltd's NPI number?

The NPI number for Active Health Ltd is 1104199983. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Active Health Ltd located?

Active Health Ltd is located at 1550 N Northwest Hwy Ste 206, Park Ridge, IL 60068. The listed phone number is (847) 739-3120.

What is Active Health Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Active Health Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2116287) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Health Ltd was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.