ADVANCED SPORTS MEDICINE SC NPI 1083932602

NPI Information

NPI: 1083932602
Provider Name: ADVANCED SPORTS MEDICINE SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1750 N RANDALL RD
SUITE 250
ELGIN, IL
ZIP 60123
Phone: (224) 856-2494
Get Directions

ADVANCED SPORTS MEDICINE SC is a chiropractor in Elgin, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ADVANCED SPORTS MEDICINE SC NPI is 1083932602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1750 N RANDALL RD
SUITE 250
ELGIN, IL
ZIP 60123-900
Phone: (224) 856-2494
Fax: (224) 856-2495

The provider's authorized official is Thomas M Mitchell .
The authorized official title is Owner and has the following contact phone number (630) 346-3600.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 12/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038009968	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U98186	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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