MEDICARE: ADVANCED CHIROPRACTIC HEALTH AND WELLNESS INSTITUTE, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038012284	IL

General Provider Information

NPI Number	:	1902223233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC HEALTH AND WELLNESS INSTITUTE, LTD.

Provider Business Mailing Address
First Line	:	2580 FOXFIELD RD
Second Line	:	SUITE 202
City	:	ST CHARLES
State	:	IL
Zip	:	60174-1403
Country	:	US
Telephone Number	:	630-549-7584
Fax Number	:	630-549-7586

Provider Business Practice Location Address
First Line	:	2580 FOXFIELD RD
Second Line	:	SUITE 202
City	:	SAINT CHARLES
State	:	IL
Zip	:	60174-1403
Country	:	US
Telephone Number	:	630-549-7584
Fax Number	:	630-549-7586

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN/PRESIDENT
Name	:	DR. SHAREEN HURANI
Credential	:	D.C.
Telephone Number	:	630-549-7584

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	08/25/2014

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