# FUNCTIONAL THERAPY SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED HEALTH SC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629211362
- **Legal business name:** ADVANCED HEALTH SC
- **Authorized official:** DR. DOUG SIMPER D.C. (PRESIDENT)
- **Authorized official phone:** (630) 941-8190

## Contact information

- **Practice address:** 401 N YORK RD, SUITE 4, ELMHURST, IL 60126-5510
- **Practice address phone:** (630) 941-8190
- **Practice address fax:** (630) 941-8194
- **Mailing address:** 401 N YORK RD, SUITE 4, ELMHURST, IL 60126-5510
- **Mailing address phone:** (630) 941-8190
- **Mailing address fax:** (630) 941-8194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070014040 | IL | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 04/10/2009