Provider Demographics
NPI:1316209588
Name:ADVANCED HEALTH INSTITUTE OF ARLINGTON HEIGHTS
Entity Type:Organization
Organization Name:ADVANCED HEALTH INSTITUTE OF ARLINGTON HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-368-1122
Mailing Address - Street 1:45 S DUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1401
Mailing Address - Country:US
Mailing Address - Phone:847-368-1122
Mailing Address - Fax:847-368-1121
Practice Address - Street 1:45 S DUNTON AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1401
Practice Address - Country:US
Practice Address - Phone:847-368-1122
Practice Address - Fax:847-368-1121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED HEALTH INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty