# ADVANCED HEALTHCARE RESOURCES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174674048
- **Authorized official:** MR. RAYMOND STACHOWIAK (PRESIDENT)
- **Authorized official phone:** (630) 483-3980

## Contact information

- **Practice address:** 4212 N 16TH ST, ATTN CT SCANNER, PHOENIX, AZ 85016-5319
- **Practice address phone:** (602) 263-1626
- **Practice address fax:** (602) 263-1627
- **Mailing address:** 801 PHOENIX LAKE AVE, STREAMWOOD, IL 60107-2363
- **Mailing address phone:** (630) 483-3980
- **Mailing address fax:** (630) 483-3986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | Yes |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 10/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 144866 | — | AZ |
| 01 | — | AZ0813860 | AZ BCBS PROV ID | AZ |