# ADVANCE CORE PHYSICAL THERAPY AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1487226312
- **Authorized official:** DANIELA MOISE PT (OWNER)
- **Authorized official phone:** (646) 400-4764

## Contact information

- **Practice address:** 5300 N LINCOLN AVE STE A, CHICAGO, IL 60625-8035
- **Practice address phone:** (646) 400-4764
- **Mailing address:** 2500 WINDSOR MALL APT 3E, PARK RIDGE, IL 60068-3639
- **Mailing address phone:** (646) 400-4764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 08/10/2021