Organization
ADVANCED HEALTH MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELYN BITLER (MANAGER)
(614) 395-9132
Entity
Organization
Contact information
Practice address
1147 S WABASH AVE, SUITE 250, CHICAGO, IL 60605-2346
(312) 987-4878
Mailing address
1147 S WABASH AVE, SUITE 250, CHICAGO, IL 60605-2346
(312) 987-4878
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036127178
IL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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