NPI 1043783699 · live from the CMS NPI Registry
Advanced Neuro Pain Clinic INC
Chiropractor in Chicago, IL. National Provider Identifier 1043783699, active.
NPI record
| NPI | 1043783699 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 4009 W Fullerton Ave, Chicago, IL 60639 |
| Practice phone | 773-276-3333 |
| Mailing address | 9314 S Octavia Ave, Bridgeview, IL 60455 |
| Enumerated | January 7, 2019 |
| Last updated | February 18, 2019 |
| Authorized official | Giovanni Chaves, Manager |
| Other names | Advanced Neuro Pain Clinic INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.