Organization Active NPI

Advanced Health of Oakbrook, LLC

  • Chiropractor
  • Oakbrook Terrace, IL
National Provider Identifier
1497929640
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED HEALTH OF OAKBROOK, LLC
Practice address
17 W 703 Butterfield Rd.
Suite E
Oakbrook Terrace, IL 60181
Phone
(630) 854-5551
Fax
(630) 236-1339
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Christopher Walter Orenczak, DCNPI 1992714216
Title
Manager/Owner
Phone
(630) 854-5551

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

17 W 703 Butterfield Rd.
Suite E
Oakbrook Terrace, IL 60181

Mailing address

3607 Grassmere Rd
Naperville, IL 60564-8242
Phone (630) 854-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000497 IL Part B Supplier - Clinic/Group Practice 3173696200 Receives reassigned benefits from 1 practitioner
Practice locations: Oakbrook Terrace, IL

National Provider Directory

National Provider Directory

Locations

17W705 Butterfield Rd
Ste E
Oakbrook Terrace, IL 60181
Phone (630) 278-0150

17W705 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 278-0510

17W703 Butterfield Rd
Ste E
Oakbrook Terrace, IL 60181
Phone (630) 854-5551

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1497929640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 GRASSMERE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648242",
            "telephone_number": "630-854-5551",
            "fax_number": "630-236-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 703 BUTTERFIELD RD.",
            "address_2": "SUITE E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-854-5551",
            "fax_number": "630-236-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH OF OAKBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "ORENCZAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "630-854-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.