Advanced Healthcare Services, LLC
Organization Active NPI Physical Therapist · Springfield, IL
NPI 1083192165 · NPPES record last updated Aug 1, 2018
Key facts
- NPI
- 1083192165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANCED HEALTHCARE SERVICES, LLC
- Practice address
- 3900 Pintail Dr Ste a
Springfield, IL 62711-7380 - Phone
- (217) 726-6959
- NPI assigned
- Aug 1, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED HEALTHCARE SERVICES, LLC
Authorized official
- Name
- Cristina Caoili Agno
- Title
- Administrator
- Phone
- (217) 726-6956
Parent organization (reported in NPPES) 1
Practitioners 1
National Provider Directory
- Part of
- Advanced Healthcare Services LLC
Locations
1749 W Golf Rd
Mount Prospect, IL 60056
3900 Pintail Dr
Ste A
Springfield, IL 62711
Phone (217) 726-6956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
3900 Pintail Dr Ste a
Springfield, IL 62711-7380
Mailing address
1749 W Golf Rd # 279
Mount Prospect, IL 60056-4025
Phone (630) 310-0095
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All providers in Springfield, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.