Organization · NPI-2

Advanced Health Sc

Family Medicine · Elmhurst, IL

NPI number1740489897
StatusActive
Last updated in NPPESMar 28, 2013

Details

NPI
1740489897
Entity type
Organization (NPI-2)
Legal business name
Advanced Health Sc
Organization subpart
No
Enumeration date
Jul 17, 2007
Last updated
Mar 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036-119654ILYes
225100000X Physical Therapist––
111N00000X Chiropractor038-008756IL
247200000X Technician, Other038-008756IL
202K00000X Phlebology036-126661IL
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Osteo Relief Institute (Doing Business As)

Practice location

401 N York St
Ste 4
Elmhurst, IL 60126-5510

Phone 630-941-8190 · Fax 630-941-8194

Mailing address

401 N York St
Ste 4
Elmhurst, IL 60126-5510

Phone 630-941-8190 · Fax 630-941-8194

Authorized official

Doug H. Simper
Physician
6309418190

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