NPIMap

Organization Active NPI

Advanced Health SC

Doing business as Osteo Relief Institute

  • Family Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1740489897
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-119654 Issued in IL
Legal business name
ADVANCED HEALTH SC
Doing business as
Osteo Relief Institute
Practice address
401 N York St
Ste 4
Elmhurst, IL 60126-5510
Phone
(630) 941-8190
Fax
(630) 941-8194
NPI assigned
Jul 17, 2007
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Doug H. Simper, D.C.
Title
Physician
Phone
(630) 941-8190

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 038-008756 IL
Durable Medical Equipment & Medical Supplies 332B00000X
Chiropractor 111N00000X 038-008756 IL
Family Medicine Physician 207Q00000X 036-119654 IL Primary
Physical Therapist 225100000X
Phlebology Physician 202K00000X 036-126661 IL

Addresses

Primary practice location

401 N York St
Ste 4
Elmhurst, IL 60126-5510

Mailing address

401 N York St
Ste 4
Elmhurst, IL 60126-5510
Phone (630) 941-8190

Other names 1

  • Osteo Relief Institute Doing business as

National Provider Directory

National Provider Directory

Locations

4801 W Peterson Ave
Ste 60
Chicago, IL 60646
Phone (773) 572-9348

401 N York St
Ste 4
Elmhurst, IL 60126
Phone (331) 777-0139

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1740489897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N YORK ST",
            "address_2": "STE 4",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265510",
            "telephone_number": "630-941-8190",
            "fax_number": "630-941-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N YORK ST",
            "address_2": "STE 4",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265510",
            "telephone_number": "630-941-8190",
            "fax_number": "630-941-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "SIMPER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-941-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "IL",
            "license": "038-008756",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008756",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-119654",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036-126661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteo Relief Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.