NPI 1982823266 · live from the CMS NPI Registry
Advantage Chiropractic And Rehabilitation, Sc
Chiropractor, Sports Physician in Oak Lawn, IL. National Provider Identifier 1982823266, active.
NPI record
| NPI | 1982823266 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Sports Physician 111NS0005X |
| Practice location | 4809 W 95th St, Oak Lawn, IL 60453 |
| Practice phone | 708-425-0770 |
| Enumerated | April 24, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | James Shroba, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Sports Physician primary | 111NS0005X | 038007063 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.