NPI 1366408387 · live from the CMS NPI Registry
Advanced Medical & Wellness Of Spring Hill, S.C.
Physical Medicine & Rehabilitation, Pain Medicine in Carpentersville, IL. National Provider Identifier 1366408387, active.
NPI record
| NPI | 1366408387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Medicine & Rehabilitation, Pain Medicine 2081P2900X |
| Practice location | 231 W Main St, Suite 101, Carpentersville, IL 60110 |
| Practice phone | 847-428-1515 |
| Mailing address | Po Box 959, Dundee, IL 60118 |
| Enumerated | April 26, 2006 |
| Last updated | May 14, 2009 |
| Authorized official | Daniel Horn, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Chiropractor, Sports Physician | 111NS0005X | — |
| Family Medicine | 207Q00000X | — |
| Physical Medicine & Rehabilitation, Pain Medicine primary | 2081P2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.