Organization
ADVANCE MYOTHERAPY & PAIN CTR.
Active
Other names
NIMFA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIMFA BADILLO ANDRADE LMT, MMT (OWNER/THERAPIST)
(847) 257-7286
Entity
Organization
Contact information
Practice address
1600 W DEMPSTER ST, SUITE 106, PARK RIDGE, IL 60068-1109
(847) 257-7286
Mailing address
1600 W DEMPSTER ST, SUITE 106, PARK RIDGE, IL 60068-1109
(847) 257-7286
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
227003426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346667839
MANUAL THERAPY
IL
Enumeration date
06/03/2015
Last updated
06/03/2015
Update your record
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