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Active Medical Supply Co.

Durable Medical Equipment & Medical Supplies in Willow Springs, IL · enumerated 2009 · authorized official Kelly Heneghan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114255957

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Registry record

Entity type Organization (Type 2)
Legal business name Active Medical Supply Co.
Practice address 8434 Corcoran Rd, Willow Springs, IL, 60480
Phone (708) 878-3736
Enumeration date Dec 4, 2009
Last updated in NPPES Dec 4, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Kelly Heneghan
Title President
Phone (708) 878-3736

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Active Medical Supply Co.?
NPPES lists Kelly Heneghan (President) as the authorized official for this organization.
What is the NPI number for Active Medical Supply Co.?
The NPI for Active Medical Supply Co. is 1114255957, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-04.