ADVANCED HEALTHCARE CLINIC LLC NPI 1326464082

NPI Information

NPI: 1326464082
Provider Name: ADVANCED HEALTHCARE CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5 WILLIAMSON DR STE 300
FAIRFIELD, IL
ZIP 62837
Phone: (618) 842-2012
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ADVANCED HEALTHCARE CLINIC LLC is a chiropractor in Fairfield, 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. ADVANCED HEALTHCARE CLINIC LLC NPI is 1326464082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 WILLIAMSON DR STE 300
FAIRFIELD, IL
ZIP 62837-370
Phone: (618) 842-2012
Fax: (618) 842-2408

The provider's authorized official is Steven Ray Miller .
The authorized official title is Owner/manager and has the following contact phone number (618) 842-2012.

The enumeration date for this NPI number is 3/5/2014 and was last updated on 3/5/2014.

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
1	111N00000X	Chiropractor		038.006854	ILLINOIS	Yes

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

NPI Synchronization or Removal

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