Organization Active NPI

Advanced Health Solutions Inc

  • Clinic/Center
  • Roselle, IL
National Provider Identifier
1235580226
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038-009617 Issued in IL
Legal business name
ADVANCED HEALTH SOLUTIONS INC
Practice address
468 Lake St
Roselle, IL 60172-3544
Phone
(847) 466-5009
Fax
(847) 466-5407
NPI assigned
Jun 30, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Dr. Pranav Patel, D.CNPI 1952496432
Title
Doctor/ Owner
Phone
(847) 466-5009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038-009617 IL Primary

Addresses

Primary practice location

468 Lake St
Roselle, IL 60172-3544

Mailing address

468 Lake St
Roselle, IL 60172-3544
Phone (847) 466-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708000226 IL Part B Supplier - Clinic/Group Practice 6709178981 Receives reassigned benefits from 1 practitioner
Practice locations: Roselle, IL

National Provider Directory

National Provider Directory

Locations

468 Lake St
Roselle, IL 60172
Phone (847) 466-5009

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": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1235580226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 LAKE ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723544",
            "telephone_number": "847-466-5009",
            "fax_number": "847-466-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 LAKE ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723544",
            "telephone_number": "847-466-5009",
            "fax_number": "847-466-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "847-466-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038-009617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.