NPIMap

Organization Active NPI

Med-Advo-C LLC

  • Student Health Clinic/Center
  • Joliet, IL
National Provider Identifier
1013638832
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MED-ADVO-C LLC
Practice address
1505 Yorkshire CT
Joliet, IL 60431-8088
Phone
(708) 972-9715
Fax
(630) 326-3382
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April McMurray-White
Title
Ceo/Owner
Phone
(708) 972-9715

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Health Service Clinic/Center 261QH0100X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Primary Care Clinic/Center 261QP2300X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1505 Yorkshire CT
Joliet, IL 60431-8088

Mailing address

1505 Yorkshire CT
Joliet, IL 60431-8088
Phone (708) 972-0915

Other names 1

  • MED-ADVO-C LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.medadvoc.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Med-Advo-C LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1013638832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 YORKSHIRE CT",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318088",
            "telephone_number": "708-972-0915",
            "fax_number": "630-326-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 YORKSHIRE CT",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318088",
            "telephone_number": "708-972-9715",
            "fax_number": "630-326-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-ADVO-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY-WHITE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "708-972-9715"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.medadvoc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 Yorkshire Ct",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604318088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MED-ADVO-C LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.