Provider Demographics
NPI:1225708035
Name:ADVANCED HEALTH OF NAPERVILLE PLLC
Entity Type:Organization
Organization Name:ADVANCED HEALTH OF NAPERVILLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-355-8988
Mailing Address - Street 1:1767 W OGDEN AVE STE 143
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5008
Mailing Address - Country:US
Mailing Address - Phone:630-355-8988
Mailing Address - Fax:
Practice Address - Street 1:1767 W OGDEN AVE STE 143
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5008
Practice Address - Country:US
Practice Address - Phone:630-355-8988
Practice Address - Fax:630-355-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty