Organization
ADVANCED MEDICAL WEIGHT LOSS RX S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA HOTTES DC (OWNER)
(618) 655-0990
Entity
Organization
Contact information
Practice address
19 JUNCTION DR, GLEN CARBON, IL 62034-4300
(618) 655-0990
Mailing address
19 JUNCTION DR, GLEN CARBON, IL 62034-4300
(618) 655-0990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
038009646
IL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/13/2014
Last updated
11/19/2024
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