NPI 1629275821 · live from the CMS NPI Registry
Advanced Natural Health
Chiropractor, Rehabilitation in Oakbrook Terrace, IL. National Provider Identifier 1629275821, active.
NPI record
| NPI | 1629275821 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Rehabilitation 111NR0400X |
| Practice location | 17 W 300 22 St, Suite 460, Oakbrook Terrace, IL 60181 |
| Practice phone | 630-833-3799 |
| Mailing address | Po Box 270345, West Allis, WI 53227 |
| Enumerated | June 29, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Sitsadaphone Phetchamphone, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Chiropractor, Rehabilitation primary | 111NR0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.