# ADVANCED INTEGRATED MEDICAL THERAPY INC.

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

## Provider details

- **NPI number:** 1366077570
- **Authorized official:** JOSEPH S THOMAS MD (DOCTOR)
- **Authorized official phone:** (733) 881-3400

## Contact information

- **Practice address:** 9727 S WESTERN AVE, CHICAGO, IL 60643-1723
- **Practice address phone:** (773) 881-3400
- **Mailing address:** 9727 S WESTERN AVE, CHICAGO, IL 60643-1723
- **Mailing address phone:** (773) 881-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 03/09/2020