ADVANCED WELLNESS MEDICAL, LLC (NPI# 1831597194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831597194 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS MEDICAL, LLC |
| Practice Address |
6325 Main Street Suite 120 Woodridge IL 60517 |
| Mailing Address |
604 Hobson Rd. Naperville IL 60540 |
| Practice Telephone | 6305416773 |
| Mailing Telephone | 6305422598 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | DR. EMMY WANG (OWNER/D.C) |
| Authorized Official Telephone | 6305422598 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6325 MAIN STREET SUITE 120 |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| 1861783136 | Papilla Alternative Hair Inc. | Prosthetic/Orthotic Supplier | 3520 Seven Bridges Drive, Suite 240, Woodridge, IL 60517 | 2011-04-21 |
| Find all providers in zip 60517 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.