NPI 1972529196 · live from the CMS NPI Registry
Advanced Healthcare PC
Chiropractor in Niles, IL. National Provider Identifier 1972529196, active.
NPI record
| NPI | 1972529196 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 9194 W Golf Rd, Niles, IL 60714 |
| Practice phone | 847-795-1700 |
| Enumerated | July 14, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | John Poulos, Owner/Chiropractic Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038009221 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.