NPI 1710190830 · live from the CMS NPI Registry
Advantage Chiropractic
Chiropractor in Roselle, IL. National Provider Identifier 1710190830, active.
NPI record
| NPI | 1710190830 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 980 Lake St, Roselle, IL 60172 |
| Practice phone | 630-351-9135 |
| Enumerated | May 7, 2007 |
| Last updated | December 3, 2007 |
| Authorized official | James Johnson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038009783 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.