NPI 1629377650 · live from the CMS NPI Registry
Advanced Wellness Chiropractic And Functional Rehab LLC
Chiropractor in Alton, IL. National Provider Identifier 1629377650, active.
NPI record
| NPI | 1629377650 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 231 E Delmar Rd, Alton, IL 62002 |
| Practice phone | 618-462-6630 |
| Enumerated | March 16, 2011 |
| Last updated | March 16, 2011 |
| Authorized official | Kyle Buesteton, Doctor Of Chiropractic/ Owner |
| Other names | Advanced Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038.011560 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.