Aira Basco Advincula

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

041398194 Issued in IL

Practice address

1101 Pembridge Dr
Lake Forest, IL 60045-4222

Phone

(847) 604-6751

Fax

(847) 604-6708

NPI assigned

Dec 26, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1013786540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEMBRIDGE DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454222",
            "telephone_number": "847-604-6511",
            "fax_number": "847-604-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PEMBRIDGE DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454222",
            "telephone_number": "847-604-6751",
            "fax_number": "847-604-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADVINCULA",
        "first_name": "AIRA",
        "middle_name": "BASCO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041398194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Abbinanti, APRN, CNM
• Owais Abdul-Kafi, MD
• Kathleen Marie Abernathy, R.D., L.D.N.
• Acucenter Pain Clinic
• Acucenter Pain Clinic
• Affiliated Urologists LTD
• Deepti Agarwal, MD
• Muhammad U Ahmed, MD
• Mariyam Alam, PA-C
• Alisa Courtney Psychotherapy

• All providers in Lake Forest, IL
• Gerontology Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.