# ADVANCED HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED HEALTHCARE SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083192165
- **Legal business name:** ADVANCED HEALTHCARE SERVICES, LLC
- **Authorized official:** CRISTINA CAOILI AGNO (ADMINISTRATOR)
- **Authorized official phone:** (217) 726-6956

## Contact information

- **Practice address:** 3900 PINTAIL DR STE A, SPRINGFIELD, IL 62711-7380
- **Practice address phone:** (217) 726-6959
- **Mailing address:** 1749 W GOLF RD \# 279, MOUNT PROSPECT, IL 60056-4025
- **Mailing address phone:** (630) 310-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 08/01/2018