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PROGRESSIVE MEDICINE LTD. NPI 1114051208


NPI Information

NPI: 1114051208
Provider Name: PROGRESSIVE MEDICINE, LTD.

Doing Business As: PARK AVENUE WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
110 W PARK AVE
STE. C
ELMHURST, IL
ZIP 60126
Phone: (630) 359-5483
Get Directions

PROGRESSIVE MEDICINE, LTD. is a chiropractor in Elmhurst, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PROGRESSIVE MEDICINE, LTD. NPI is 1114051208. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Avenue Wellness.

The provider's business location address is:

110 W PARK AVE
STE. C
ELMHURST, IL
ZIP 60126-201
Phone: (630) 359-5483
Fax: (630) 359-5624

The provider's authorized official is Brian Charles Karwowski .
The authorized official title is Presidentphysician and has the following contact phone number (630) 359-5483.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor042618420ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211452MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2K16560MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE ID #
3V04670MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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