Organization Active NPI

Advanced Alternative Med Care

  • Internal Medicine Physician
  • Orland Park, IL
National Provider Identifier
1063702991
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036073886 Issued in IL
Legal business name
ADVANCED ALTERNATIVE MED CARE
Practice address
9651 W 153Rd St
Ste, 55
Orland Park, IL 60462-3773
Phone
(708) 675-1908
Fax
(708) 460-5615
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. John F. Olivieri, M.D.NPI 1578510525
Title
Vice President
Phone
(708) 473-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180001829 IL
Internal Medicine Physician 207R00000X 036073886 IL Primary

Addresses

Primary practice location

9651 W 153Rd St
Ste, 55
Orland Park, IL 60462-3773

Mailing address

9651 W 153Rd St
Ste. 55
Orland Park, IL 60462-3773
Phone (708) 675-1908

National Provider Directory

National Provider Directory

Locations

9651 W 153rd St
Ste 55
Orland Park, IL 60462
Phone (708) 460-9650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1063702991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 W 153RD ST",
            "address_2": "STE. 55",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623773",
            "telephone_number": "708-675-1908",
            "fax_number": "708-460-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 W 153RD ST",
            "address_2": "STE, 55",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623773",
            "telephone_number": "708-675-1908",
            "fax_number": "708-460-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALTERNATIVE MED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "OLIVIERI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-473-5994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036073886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.