Organization Active NPI

Advanced Center for Health & Pain Management

  • Neurology Chiropractor
  • Cicero, IL
National Provider Identifier
1427247147
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
ADVANCED CENTER FOR HEALTH & PAIN MANAGEMENT
Practice address
3602 S 61St Ave
Cicero, IL 60804-4146
Phone
(630) 833-4007
Fax
(630) 941-1608
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Wayne Cichowicz, DNNPI 1750465084
Title
Naprapath
Phone
(630) 833-4007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X IL Primary

Addresses

Primary practice location

3602 S 61St Ave
Cicero, IL 60804-4146

Mailing address

3602 S 61St Ave
Cicero, IL 60804-4146
Phone (630) 833-4007

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1427247147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 S 61ST AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044146",
            "telephone_number": "630-833-4007",
            "fax_number": "630-941-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 S 61ST AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044146",
            "telephone_number": "630-833-4007",
            "fax_number": "630-941-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR HEALTH & PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CICHOWICZ",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "NAPRAPATH",
        "authorized_official_telephone_number": "630-833-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.