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ADVANCED SPINAL ORTHOTICS NPI 1861737462


NPI Information

NPI: 1861737462
Provider Name: ADVANCED SPINAL ORTHOTICS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3000 N HALSTED ST
SUITE 703
CHICAGO, IL
ZIP 60657
Phone: (773) 770-5980
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ADVANCED SPINAL ORTHOTICS is a durable medical equipment medical supplies in Chicago, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANCED SPINAL ORTHOTICS NPI is 1861737462. The provider is registered as an organization entity type.

The provider's business location address is:

3000 N HALSTED ST
SUITE 703
CHICAGO, IL
ZIP 60657-188
Phone: (773) 770-5980
Fax: (773) 296-9999

The provider's authorized official is John K Song .
The authorized official title is Direct Owner and has the following contact phone number (773) 770-5980.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 12/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies036111342ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922099084MEDICARE 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: 11/14/2023

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