Advanced Wellness Clinics

LBN: Advanced Wellness Clinics
Advanced Wellness Clinics is an health care organization with primary practice located at 1835 N Broadway Avenue Suite 104, Melrose Park IL 60160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Advanced Wellness Clinics can be contacted via phone (708) 450-0705, or through Ruiz-Pla, Helene M via phone (708) 450-0705.

Contact Information

Primary practice address
1835 N Broadway Avenue Suite 104 Melrose Park IL 60160
Phone: (708) 450-0705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruiz-Pla, Helene M Doctor of Medicine (MD)
Phone: (708) 450-0705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036074432 Illinois

Profile Details

NPI number 1629373212
LBN Legal business name Advanced Wellness Clinics
DBA Doing business as
Authorized official Ruiz-Pla, Helene M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2011
Last updated Jan 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629373212 NPPES
Illinois MEDICAID 036079717
Illinois Other 0031603786

Popular Providers