Organization
ADVANCED NATURAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SITIHIAMPHONE PHETCHAMPHONE D.C. (OWNER)
(630) 833-3799
Entity
Organization
Contact information
Practice address
17W300 22ND ST, SUITE406, OAKBROOK TERRACE, IL 60181-4405
(630) 833-3799
(630) 833-3830
Mailing address
17W300 22ND ST, SUITE 460, OAKBROOK TERRACE, IL 60181-4405
(630) 833-3799
(630) 833-3830
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038009954
IL
Other
Enumeration date
05/16/2007
Last updated
11/20/2008
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