OrganizationActive
Advanced Wellness Center and Research Foundation
NPI 1356452726 · Family Medicine Physician · Elgin, IL
Provider details
- NPI number
- 1356452726
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Margot Lacava, Office Manager
Practice location
1750 N Randall Rd
Suite 250
Elgin, IL 60123-7900
Phone: (847) 695-6262
Fax: (847) 695-6348
Mailing address
1750 N Randall Rd
Elgin, IL 60123-7900
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.