NPI 1386732972 · live from the CMS NPI Registry
Advanced Medical Clinic
Chiropractor in Chicago, IL. National Provider Identifier 1386732972, active.
NPI record
| NPI | 1386732972 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 | 4009 W. Fullerton Avenue, Chicago, IL 60639 |
| Enumerated | October 10, 2006 |
| Last updated | March 24, 2011 |
| Authorized official | Mohamed Malas, Chiropractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038-007731 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.