NPIMap

Organization Active NPI

Advanced Natural Health Center

  • Orthopedic Chiropractor
  • Oakbrook Terrace, IL
National Provider Identifier
1487861977
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038009954 Issued in IL
Legal business name
ADVANCED NATURAL HEALTH CENTER
Practice address
17W300 22ND St
Suite406
Oakbrook Terrace, IL 60181-4405
Phone
(630) 833-3799
Fax
(630) 833-3830
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Sitihiamphone Phetchamphone, D.C.NPI 1821070525
Title
Owner
Phone
(630) 833-3799

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 038009954 IL Primary

Addresses

Primary practice location

17W300 22ND St
Suite406
Oakbrook Terrace, IL 60181-4405

Mailing address

17W300 22ND St
Suite 460
Oakbrook Terrace, IL 60181-4405
Phone (630) 833-3799

National Provider Directory

National Provider Directory
Tax ID family
Advanced Natural Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17W300 22nd St
Ste 406
Oakbrook Terrace, IL 60181
Phone (630) 833-3799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1487861977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE 460",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-833-3799",
            "fax_number": "630-833-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE406",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-833-3799",
            "fax_number": "630-833-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NATURAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PHETCHAMPHONE",
        "authorized_official_first_name": "SITIHIAMPHONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-833-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038009954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.