NPI 1366863045 · live from the CMS NPI Registry
Advanced Wellness Center Ltd
Chiropractor in Woodridge, IL. National Provider Identifier 1366863045, active.
NPI record
| NPI | 1366863045 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 6325 Main St, Suite 120, Woodridge, IL 60517 |
| Practice phone | 630-541-6773 |
| Enumerated | December 23, 2013 |
| Last updated | December 23, 2013 |
| Authorized official | Emmy Wang, Doctor/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038011299 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.