National Provider Identifier Database

ADVANCED WELLNESS MEDICAL LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

ADVANCED WELLNESS MEDICAL, LLC
6325 MAIN STREET
SUITE 120
WOODRIDGE, IL60517
Phone: 630-541-6773
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED WELLNESS MEDICAL, LLC

NPI Number 1831597194
Legal business name
LBN
ADVANCED WELLNESS MEDICAL, LLC
Authorized official EMMY WANG - (OWNER/D.C)
Entity Organization
Organization subpart No
Enumeration date 12/18/2014
Last updated 04/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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