NPI 1457462004 · live from the CMS NPI Registry
Advanced Chiropractic Care
Chiropractor in Swansea, IL. National Provider Identifier 1457462004, active.
NPI record
| NPI | 1457462004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 4933 Benchmark Centre Dr Ste C, Swansea, IL 62226 |
| Practice phone | 618-628-0800 |
| Enumerated | August 31, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Jeffrey Williams, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038-008944 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.