NPIMap

Organization Active NPI

Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
National Provider Identifier
1124075288
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ADVANCED PHYSICIANS, S.C.
Practice address
16101 Weber Rd
Crest Hill, IL 60403-8812
Phone
(815) 836-3799
Fax
(815) 836-8799
NPI assigned
May 27, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dana M Vallandigham, DCNPI 1780631481
Title
President
Phone
(815) 306-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

16101 Weber Rd
Crest Hill, IL 60403-8812

Mailing address

16101 Weber Rd
Crest Hill, IL 60403-8812
Phone (815) 836-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050223000649 IL Part B Supplier - Clinic/Group Practice 6103879713 Receives reassigned benefits from 38 practitioners
1 other NPI on this enrollment
Practice locations: Homer Glen, IL; Willowbrook, IL; Naperville, IL; Crest Hill, IL; Aurora, IL
O20251022002715 MS Part B Supplier - Clinic/Group Practice 6103879713 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Physicians SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3052 Weber Dr
Aurora, IL 60502
Phone (630) 898-9700

1711 W Boughton Rd
Bolingbrook, IL 60490
Phone (630) 679-1525

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

2306 Essington Rd
Joliet, IL 60435
Phone (815) 267-8720

640 S Washington St
Ste 350
Naperville, IL 60540
Phone (630) 596-0060

13246 S Route 59
Ste 106
Plainfield, IL 60585
Phone (815) 436-9200

6300 Kingery Hwy
Ste 404
Willowbrook, IL 60527
Phone (630) 789-3338

7632 Plaza Ct
Willowbrook, IL 60527
Phone (630) 789-3338

7850 S Quincy St
Ste 112
Willowbrook, IL 60527
Phone (630) 468-2307

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1124075288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038812",
            "telephone_number": "815-836-3799",
            "fax_number": "815-836-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038812",
            "telephone_number": "815-836-3799",
            "fax_number": "815-836-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIANS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "VALLANDIGHAM",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-306-1100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.