OrganizationActive
Advanced Healthcare Services, LLC
NPI 1083192165 · Physical Therapist · Springfield, IL
Provider details
- NPI number
- 1083192165
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Advanced Healthcare Services, LLC
- Organization subpart
- Yes
- Authorized official
- Cristina Agno, Administrator(217) 726-6956
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
3900 Pintail Dr Ste a
Springfield, IL 62711-7380
Phone: (217) 726-6959
Approximate (ZIP-level) locationGet directions
Mailing address
1749 W Golf Rd # 279
Mount Prospect, IL 60056-4025
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.