NPI 1639901929 · live from the CMS NPI Registry
Advance Health Functional Med LLC
Chiropractor in Chicago, IL. National Provider Identifier 1639901929, active.
NPI record
| NPI | 1639901929 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 6020 W Higgins Ave Ste C, Chicago, IL 60630 |
| Practice phone | 224-342-7776 |
| Enumerated | August 15, 2024 |
| Last updated | August 15, 2024 |
| Authorized official | Vuong Van, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.