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Organization

ADVANCED HEALTHCARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D POULOS DC (OWNER/CHIROPRACTIC PHYSICIAN)
(847) 795-1700
Entity
Organization

Contact information

Practice address
9194 W GOLF RD, NILES, IL 60714-5806
(847) 795-1700
(847) 795-1750
Mailing address
9194 W GOLF RD, NILES, IL 60714-5806
(847) 795-1700
(847) 795-1750

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1630049
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/14/2006
Last updated
08/22/2020
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