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Organization
ADVANCED NATURAL HEALTH LTD
Active
Organization
ADVANCED NATURAL HEALTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SITIHIAMPHONE PHETCHAMPHONE DC (DOCTOR)
(630) 495-1855
Entity
Organization
Contact information
Practice address
17W 580 BUTTERFIELD ROADD, SUITE J, OAKBROOK TERRACE, IL 60181
(630) 495-1855
(630) 495-1856
Mailing address
17W580 BUTTERFIELD ROADD, SUITE J, OAKBROOK TERRACE, IL 60181
(630) 495-1855
(630) 495-1856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009954
IL
171100000X
Acupuncturist
198000604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100151188
PTAN
IL
01
—
2232336
BCBS
IL
Enumeration date
01/22/2014
Last updated
11/06/2014
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