| Organization Name: | ACTIVECARE NETWORK, LLC |
| NPI Number: | 1083782155 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDI ANN GRUPP (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 2275 Half Day Rd Suite 333 Bannockburn |
| State: | IL US |
| Postal Code: | 600151217 |
| Phone Number: | 8472679400 |
| Fax Number: | 8472679411 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332900000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Non-Pharmacy Dispensing Site |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |