OrganizationActive
Advanced Spinal Orthotics
NPI 1861737462 · Durable Medical Equipment & Medical Supplies · Chicago, IL
Provider details
- NPI number
- 1861737462
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- John Song, Direct Owner(773) 770-5980
- License
- 036111342 (IL)
Specialties & taxonomies
Suppliers
Practice location
3000 N Halsted St
Suite 703
Chicago, IL 60657-5188
Phone: (773) 770-5980
Fax: (773) 296-9999
Approximate (ZIP-level) locationGet directions
Mailing address
3000 N Halsted St
Chicago, IL 60657-5188
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2012-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.