Healthcare Provider Details
I. General information
NPI: 1194528141
Provider Name (Legal Business Name): ADVANCE INTEGRATIVE MEDICINE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3030 W SALT CREEK LN STE 311
ARLINGTON HEIGHTS IL
60005-1078
US
IV. Provider business mailing address
3030 W SALT CREEK LN STE 311
ARLINGTON HEIGHTS IL
60005-1078
US
V. Phone/Fax
- Phone: 224-857-8999
- Fax: 888-995-1609
- Phone: 247-857-8999
- Fax: 888-995-1609
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172P00000X |
| Taxonomy | Naprapath |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KRISTA
NICOLE
RIBANDO
Title or Position: PRESIDENT/CHIROPRACTOR
Credential: DC
Phone: 224-857-8999