NPI 1063187631

Advanced Health Medical LTD

Organisation General Practice Physician Chicago, IL

Practice location

Address: 1147 S Wabash Ave STE 250b, Chicago, IL 60605-2355
Phone: (312) 987-4878

Authorised official

Name: Chanele Smith
Title: Manager
Phone: (239) 260-0530

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1063187631
Entity type: Organization
NPI issued: 15 Aug 2021
Record last updated: 3 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.