Advanced Healthcare PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED HEALTHCARE PC

Practice address

9194 W Golf Rd
Niles, IL 60714-5806

Phone

(847) 795-1700

Fax

(847) 795-1750

NPI assigned

Jul 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D Poulos, DCNPI 1891714671

Title

Owner/Chiropractic Physician

Phone

(847) 795-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• John D Poulos, DC

  • Chiropractor
  • Niles, IL
  • NPI 1891714671
  NPD (past) Authorized official
• Antonio E Bifero, DC

  • Chiropractor
  • Niles, IL
  • NPI 1407971708
  NPD (past)
• Sorin Lazar, D.C.

  • Chiropractor
  • Niles, IL
  • NPI 1447338371
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972529196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145806",
            "telephone_number": "847-795-1700",
            "fax_number": "847-795-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145806",
            "telephone_number": "847-795-1700",
            "fax_number": "847-795-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-795-1700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1630049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Ackerman, LMT
• Acute Mantis Care
• Addus Healthcare Inc (Addus HomeCare)
• Adult Best Care LLC
• Advance Care Home Health, Inc.
• Advanced Imaging Specialists, Inc (Niles Medical Imaging)
• Afm Associates, S.C.
• Agm Physical Therapy LLC
• Asma Ahmad
• Israr Ahmed

• Chiropractor in Niles, IL
• Providers in Niles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.