NPIMap

Organization Active NPI

Advanced Health & Wellness Center LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1194954206
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010506 Issued in IL
Legal business name
ADVANCED HEALTH & WELLNESS CENTER LLC
Practice address
3839 N Western Ave
Chicago, IL 60618-3733
Phone
(773) 267-2675
Fax
(773) 267-2805
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harnek Singh Gill, D.C.NPI 1659500767
Title
LLC Member
Phone
(773) 267-2675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010506 IL Primary

Addresses

Primary practice location

3839 N Western Ave
Chicago, IL 60618-3733

Mailing address

3839 N Western Ave
Chicago, IL 60618-3733
Phone (773) 267-2675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1194954206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183733",
            "telephone_number": "773-267-2675",
            "fax_number": "773-267-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183733",
            "telephone_number": "773-267-2675",
            "fax_number": "773-267-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "HARNEK",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "773-267-2675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.