ADVANCED WELLNESS MEDICAL, LLC – NPI #1831597194
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ADVANCED WELLNESS MEDICAL, LLC is a provider located in WOODRIDGE, IL. NPPES has assigned the NPI number 1831597194 to ADVANCED WELLNESS MEDICAL, LLC on December 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Apr 02, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED WELLNESS MEDICAL, LLC below.

NPI Profile for
ADVANCED WELLNESS MEDICAL, LLC

NPI Number
1831597194
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED WELLNESS MEDICAL, LLC
Primary location
6325 MAIN STREET
SUITE 120
WOODRIDGE, IL 60517
Phone: (630) 541-6773 Fax:
Mailing address
604 HOBSON RD.
NAPERVILLE, IL 60540
Phone: (630) 542-2598 Fax:
Organization Subpart
No
Authorized Official
EMMY WANG
OWNER/D.C
Phone: (630) 542-2598
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.