Advance Performance Pain and Wellness Center
NPI 1356887475ActiveOrganization· Chiropractor, Rehabilitation· Aurora, IL
Chiropractor, Rehabilitation in Aurora, Illinois, registered in NPPES in January 2017. The authorized official on file is Jason Fennema, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356887475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2017 |
| Last updated in NPPES | Jan 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 038010696 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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