Organization
ADVANCED WELLNESS CENTER AND RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGOT ALEXANDRA LACAVA (OFFICE MANAGER)
(847) 695-6262
Entity
Organization
Contact information
Practice address
1750 N RANDALL RD, SUITE 250, ELGIN, IL 60123-7900
(847) 695-6262
(847) 695-6348
Mailing address
1750 N RANDALL RD, SUITE 250, ELGIN, IL 60123-7900
(847) 695-6262
(847) 695-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
04/16/2008
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