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Contact Information

ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER
1222 N EOLA RD
AURORA, IL60502-9409
 Phone: 630-499-8804
 Fax: 630-820-1360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER

NPI # 1356887475
LBN Legal business name ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER
Authorized official JASON FENNEMA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2017
Last updated 01/12/2017 - About 9 years ago
Identifiers
IL License # 038010696
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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