Advanced Healthcare Services, LLC

NPI #1083192165 in Springfield, Illinois

Provider Information

NPI Number: 1083192165
Entity Type: Organization
Organization Name: Advanced Healthcare Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED HEALTHCARE SERVICES, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2018
Last Updated: Aug 1, 2018

Practice Location

Address: 3900 PINTAIL DR STE A
City: Springfield
State: Illinois
ZIP Code: 62711-7380
Phone: (217) 726-6959

Authorized Official

Name: CRISTINA CAOILI AGNO
Title: ADMINISTRATOR
Phone: (217) 726-6956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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