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JLV1 LLC NPI 1356786867


NPI Information

NPI: 1356786867
Provider Name: JLV1 LLC

Doing Business As: ADVANCE SPINE & REHAB CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3139 W 111TH ST
CHICAGO, IL
ZIP 60655
Phone: (773) 767-3822
Get Directions

JLV1 LLC is a chiropractor in Chicago, 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. JLV1 LLC NPI is 1356786867. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advance Spine & Rehab Center.

The provider's business location address is:

3139 W 111TH ST
CHICAGO, IL
ZIP 60655-205
Phone: (773) 767-3822
Fax: (773) 337-9106

The provider's authorized official is Lynnette Mcroy .
The authorized official title is Billing Coordinator and has the following contact phone number (773) 767-3822.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 5/10/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038011879ILLINOISYes

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: 4/28/2024

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