ADVANCED INTEGRATIVE MEDICAL LLC

CHICAGO, IL
NPI1811343072
Entity TypeOrganization
Authorized ContactWILLIAM BLANCHARD
Owner
317-518-8166
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209012388)
Enumeration Date2016-05-06
Last Update Date2016-05-25
Business Address
ADVANCED INTEGRATIVE MEDICAL LLC
2333 N HARLEM AVE
CHICAGO, IL 60707-2718
Phone number: 317-518-8166
Mailing Address
ADVANCED INTEGRATIVE MEDICAL LLC
202 N SPRUCE DR
MAHOMET, IL 61853-9277
Phone number: 317-518-8166