Organization
ADVANCED HEALTH MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE R MCROY (BILLING COORDINATOR)
(773) 767-3822
Entity
Organization
Contact information
Practice address
3055 W ARMITAGE AVE, CHICAGO, IL 60647-3862
(773) 938-1838
(773) 938-1839
Mailing address
3055 W ARMITAGE AVE, CHICAGO, IL 60647-3862
(773) 938-1838
(773) 938-1839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
042619302
IL
174400000X
Specialist
Primary
042619302
IL
225400000X
Rehabilitation Practitioner
042619302
IL
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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