Advanced Health Institute South Loop Llc is a
Family Medicine based in Chicago, Illinois. Advanced Health Institute South Loop Llc is licensed to practice in Illinois (license number 036134095) and their current practice location is
1147 S Wabash Ave Ste 250, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(312) 987-4878.
NPI number for Advanced Health Institute South Loop Llc is 1619213170 and their current mailing address is 1147 S Wabash Ave Ste 250, Chicago, Illinois. Advanced Health Institute South Loop Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619213170.
Healthcare Provider's Profile
Full Name | Advanced Health Institute South Loop Llc |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 1147 S Wabash Ave Ste 250, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619213170
- Provider Enumeration Date: 01/02/2013
- Last Update Date: 04/18/2014
Medical Identifiers
Medical identifiers for Advanced Health Institute South Loop Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619213170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038011556 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036134095 (Illinois) | Primary |
208100000X | Physical Medicine & Rehabilitation | 036112926 (Illinois) | Secondary |
208D00000X | General Practice | 036060139 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085003927 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209011079 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanced Health Institute South Loop Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Advanced Health Institute South Loop Llc 1147 S Wabash Ave Ste 250, Chicago, IL 60605-2355 Ph: (312) 987-4878 | Advanced Health Institute South Loop Llc 1147 S Wabash Ave Ste 250, Chicago, IL 60605-2355 Ph: (312) 987-4878 |
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