Advanced Wellness Institute LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011342 Issued in IL

Legal business name

ADVANCED WELLNESS INSTITUTE LLC

Practice address

45 S Dunton Ave
Arlington Heights, IL 60005-1401

Phone

(847) 368-1122

Fax

(847) 368-1121

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Matthew Walker, D.C.

Title

Chiropractor

Phone

(847) 368-1122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1336463280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051401",
            "telephone_number": "847-368-1122",
            "fax_number": "847-368-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051401",
            "telephone_number": "847-368-1122",
            "fax_number": "847-368-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-368-1122",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Arlington Heights, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.