NPI 1013304674 · live from the CMS NPI Registry
Advantage Chiropractic Wellness, LLC
Chiropractor in Roscoe, IL. National Provider Identifier 1013304674, active.
NPI record
| NPI | 1013304674 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 5069 Edgemere Ct, Roscoe, IL 61073 |
| Practice phone | 815-623-1013 |
| Enumerated | April 22, 2015 |
| Last updated | September 13, 2022 |
| Authorized official | Alecia Arn, Owner |
| Other names | Advantage Chiropractic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038009022 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.