Provider Demographics
NPI:1194528141
Name:ADVANCE INTEGRATIVE MEDICINE CORPORATION
Entity type:Organization
Organization Name:ADVANCE INTEGRATIVE MEDICINE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RIBANDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:224-857-8999
Mailing Address - Street 1:6090 DELANEY DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4811
Mailing Address - Country:US
Mailing Address - Phone:247-857-8999
Mailing Address - Fax:888-995-1609
Practice Address - Street 1:3030 W SALT CREEK LN STE 311
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1078
Practice Address - Country:US
Practice Address - Phone:224-857-8999
Practice Address - Fax:888-995-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty