{"npi":"1104199983","type":"NPI-2","status":"active","name":{"display":"Active Health Ltd","other":[],"organization_name":"ACTIVE HEALTH LTD","authorised_official":"John Panopoulos"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"IL","license":"038.9079"}]},"addresses":[{"purpose":"LOCATION","street_1":"1550 N NORTHWEST HWY STE 206","city":"PARK RIDGE","state":"IL","postal_code":"600681459","country_code":"US","phone":"8477393120","fax":"8478864025"},{"purpose":"MAILING","street_1":"PO BOX 2308","city":"GLEN ELLYN","state":"IL","postal_code":"601382308","country_code":"US","phone":"8477393120"}],"license":{"state":"IL","number":"038.9079"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130501000210","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"2567609027"}]},"enumeration_date":"2012-02-09","last_updated":"2024-01-08","_meta":{"source":"NPPES","snapshot_date":"2024-01-08","doc_url":"https://findmynpi.com/api"}}