Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Active Wellness, LLC

Organization Chiropractor · NPI 1902162662

Active Wellness, LLC is a Chiropractor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone: (773) 328-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 24800594 (IL)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 24800594 (IL)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 24800594 (IL)
Acupuncturist Taxonomy 171100000X

Record details

NPI number1902162662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Ingley — General Manager · (813) 220-9113
NPI enumeratedApril 6, 2012
Last updated in NPPESFebruary 14, 2014
Mailing address4555 N Lincoln Ave, Chicago, IL 60625-2102

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