Advanced Healthcare Associates SC
Organization Active NPI Chiropractor · Wheaton, IL
NPI 1851475412 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1851475412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 042-617699 (IL)
- Legal business name
- ADVANCED HEALTHCARE ASSOCIATES SC
- Practice address
- 416 E Roosevelt Rd Ste 107
Wheaton, IL 60187-5589 - Phone
- (630) 260-1300
- Fax
- (630) 260-1612
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Lillian Warden, DC
- Title
- Director
- Phone
- (630) 260-1300
Practitioners 5
-
Lillian Warden, DC
-
Gary R. Arbuckle, D.C.
-
Thomas F Drost Jr., M.D.
-
Carolyn Molskow, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070926000201 | IL | Part B Supplier - Clinic/Group Practice | 8325132087 |
Receives reassigned benefits from 1 practitioner Practice locations: Wheaton, IL |
National Provider Directory
Locations
1001 E Ogden Ave
Ste 202
Naperville, IL 60563
Phone (630) 922-5500
411 E Roosevelt Rd
Wheaton, IL 60187
Phone (630) 260-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 042-617699 | IL | Yes |
Addresses
Primary practice location
416 E Roosevelt Rd Ste 107
Wheaton, IL 60187-5589
Mailing address
416 E Roosevelt Rd Ste 107
Wheaton, IL 60187-5589
Phone (630) 260-1300
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.