NPI 1194954206 · live from the CMS NPI Registry
Advanced Health & Wellness Center LLC
Chiropractor in Chicago, IL. National Provider Identifier 1194954206, active.
NPI record
| NPI | 1194954206 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3839 N Western Ave, Chicago, IL 60618 |
| Practice phone | 773-267-2675 |
| Enumerated | July 9, 2009 |
| Last updated | July 9, 2009 |
| Authorized official | Harnek Gill, LLC Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038010506 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.