Organization
ADVANCE SPECIALISTS HOLDINGS S.C.
Active
Other names
Advance Spine & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
NATE SMITH (BILLING MANAGER)
(810) 358-8749
Entity
Organization
Contact information
Practice address
2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
(773) 941-5968
Mailing address
PO BOX 43264, CHICAGO, IL 60643-0194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
12/14/2021
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