NPI 1356887475 · live from the CMS NPI Registry
Advance Performance Pain And Wellness Center
Chiropractor, Rehabilitation in Aurora, IL. National Provider Identifier 1356887475, active.
NPI record
| NPI | 1356887475 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Rehabilitation 111NR0400X |
| Practice location | 1222 N Eola Rd, Aurora, IL 60502 |
| Practice phone | 630-499-8804 |
| Enumerated | January 12, 2017 |
| Last updated | January 12, 2017 |
| Authorized official | Jason Fennema, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Rehabilitation primary | 111NR0400X | 038010696 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.