# ADVANCED NATURAL HEALTH

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

## Provider details

- **NPI number:** 1629275821
- **Authorized official:** DR. SITSADAPHONE PENG PHETCHAMPHONE D.C. (OWNER)
- **Authorized official phone:** (630) 833-3799

## Contact information

- **Practice address:** 17 W 300 22 ST, SUITE 460, OAKBROOK TERRACE, IL 60181
- **Practice address phone:** (630) 833-3799
- **Mailing address:** PO BOX 270345, WEST ALLIS, WI 53227-0345
- **Mailing address phone:** (414) 529-4180
- **Mailing address fax:** (414) 858-9082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 09/11/2025