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Contact Information

ADVANCED INTEGRATIVE MEDICAL LLC
2333 N HARLEM AVE
CHICAGO, IL60707-2718
 Phone: 317-518-8166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED INTEGRATIVE MEDICAL LLC · (Female)

NPI # 1811343072
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2016
Last updated 05/25/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 209012388
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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