Organization
ADVANCED PHYSICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M VALLANDIGHAM DC (PRESIDENT)
(815) 306-1100
Entity
Organization
Contact information
Practice address
16101 WEBER RD, CREST HILL, IL 60403-8812
(815) 836-3799
(815) 836-8799
Mailing address
16101 WEBER RD, CREST HILL, IL 60403-8812
(815) 836-3799
(815) 836-8799
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
04/08/2025
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