NPI 1811147846 · live from the CMS NPI Registry
Advanced Health Medical Group, Ltd
Specialist in Chicago, IL. National Provider Identifier 1811147846, active.
NPI record
| NPI | 1811147846 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 3055 W Armitage Ave, Chicago, IL 60647 |
| Practice phone | 773-938-1838 |
| Enumerated | September 26, 2008 |
| Last updated | September 26, 2008 |
| Authorized official | Lynnette Mcroy, Billing Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 042619302 (IL) |
| Rehabilitation Practitioner | 225400000X | 042619302 (IL) |
| Specialist primary | 174400000X | 042619302 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.