Organization · NPI-2

Advanced Alternative Med Care

Internal Medicine · Orland Park, IL

NPI number1063702991
StatusActive
Last updated in NPPESApr 12, 2011

Details

NPI
1063702991
Entity type
Organization (NPI-2)
Legal business name
Advanced Alternative Med Care
Organization subpart
No
Enumeration date
Apr 12, 2011
Last updated
Apr 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036073886ILYes
101YP2500X Counselor, Professional180001829IL

Practice location

9651 W 153rd St
Ste, 55
Orland Park, IL 60462-3773

Phone 708-675-1908 · Fax 708-460-5615

Mailing address

9651 W 153rd St
Ste. 55
Orland Park, IL 60462-3773

Phone 708-675-1908 · Fax 708-460-5615

Authorized official

John F. Olivieri
Vice President
7084735994

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