OrganizationActive
Advanced Health Medical Ltd
NPI 1063187631 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1063187631
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chanele Smith, Manager(239) 260-0530
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1147 S Wabash Ave Ste 250b
Chicago, IL 60605-2355
Phone: (312) 987-4878
Approximate (ZIP-level) locationGet directions
Mailing address
1147 S Wabash Ave Ste 250b
Chicago, IL 60605-2355
Registry dates
- Enumerated
- 2021-08-15
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.