National Provider Identifier Database

ADVANCED INTEGRATIVE MEDICAL LLC
Family


Contact Information

ADVANCED INTEGRATIVE MEDICAL LLC
2333 N HARLEM AVE
CHICAGO, IL60707-2718
Phone: 317-518-8166
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED INTEGRATIVE MEDICAL LLC

NPI Number 1811343072
Legal business name
LBN
ADVANCED INTEGRATIVE MEDICAL LLC
Authorized official WILLIAM BLANCHARD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/06/2016
Last updated 05/25/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 209012388

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.

Reviews for ADVANCED INTEGRATIVE MEDICAL LLC

There are currently no reviews for ADVANCED INTEGRATIVE MEDICAL LLC


NPIdb - Home
v2.201