Avant -Garde Medicne SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036-111103 Issued in IL

Legal business name

AVANT -GARDE MEDICNE SC

Practice address

215 W Washington St Apt 5006
Chicago, IL 60606-3543

Phone

(702) 566-5343

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepthi S Saxena, M.D.

Title

Owner

Phone

(702) 566-4343

Specialties & licenses 1

Addresses

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.

• Deepthi S Cull, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
  • NPI 1497749113
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1275918112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081858",
            "telephone_number": "773-522-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W WASHINGTON ST APT 5006",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063543",
            "telephone_number": "702-566-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT -GARDE MEDICNE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "DEEPTHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-566-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-111103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisett Elizabeth Avalos
• Patricia Avalos
• Rose Avalos
• Mona Avanaki, MD
• Avance Inc.
• Avant Wound Care PLLC
• Avant-Garde Medicne SC
• Veleka Avant
• Avante Therapy Services, Inc
• Fnu Avanteeka, MD

• Physical Medicine & Rehabilitation Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.