Organization
ADVANCED REHABILITATION CENTER,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR NARODITSKY D.C. (PRESIDENT)
(847) 293-5690
Entity
Organization
Contact information
Practice address
1020 MILWAUKEE AVE STE 242, DEERFIELD, IL 60015-3562
(847) 293-5690
(847) 541-7933
Mailing address
12829 W SANCTUARY LN, LAKE BLUFF, IL 60044-1167
(847) 293-5690
(847) 541-7933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060-008205
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038009089
—
IL
Enumeration date
08/30/2006
Last updated
11/11/2021
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