Provider Demographics
NPI:1497929640
Name:ADVANCED HEALTH OF OAKBROOK, LLC
Entity Type:Organization
Organization Name:ADVANCED HEALTH OF OAKBROOK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:ORENCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-854-5551
Mailing Address - Street 1:3607 GRASSMERE RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8242
Mailing Address - Country:US
Mailing Address - Phone:630-854-5551
Mailing Address - Fax:630-236-1339
Practice Address - Street 1:17 W 703 BUTTERFIELD RD.
Practice Address - Street 2:SUITE E
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:630-854-5551
Practice Address - Fax:630-236-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty