Organization
ADVANCED HEALTHCARE SERVICES, LLC
Active
Parent organization
ADVANCED HEALTHCARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALTHCARE SERVICES, LLC
Authorized official
CRISTINA CAOILI AGNO (ADMINISTRATOR)
(217) 726-6956
Entity
Organization
Contact information
Practice address
3900 PINTAIL DR STE A, SPRINGFIELD, IL 62711-7380
(217) 726-6959
Mailing address
1749 W GOLF RD # 279, MOUNT PROSPECT, IL 60056-4025
(630) 310-0095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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