ADVANCED INTEGRATIVE MEDICAL LLC; NPI #1811343072

Contact Information

ADVANCED INTEGRATIVE MEDICAL LLC

2333 N HARLEM AVE
CHICAGO, IL 60707-2718

Phone: 317-518-8166
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ADVANCED INTEGRATIVE MEDICAL LLC

NPI # 1811343072

LBN Legal business name ADVANCED INTEGRATIVE MEDICAL LLC

Authorized official WILLIAM BLANCHARD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/06/2016

Last updated 05/25/2016 - About 10 years ago

Identifiers

License #

209012388

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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ADVANCED INTEGRATIVE MEDICAL LLC

Contact Information

Specialty

Family

NPI Profile & details for ADVANCED INTEGRATIVE MEDICAL LLC

Reviews for ADVANCED INTEGRATIVE MEDICAL LLC