Advance Care Medical PCP Illinois

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCE CARE MEDICAL PCP ILLINOIS

Practice address

2975 Showplace Dr
Naperville, IL 60564-5004

Phone

(516) 801-1552

NPI assigned

Aug 5, 2021

Last updated

Aug 3, 2022By 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

Douglas Millar

Title

Senior Advisor

Phone

(917) 673-6321

Specialties & licenses 2

Addresses

Other names 1

• Advance Care Medical Naperville IL Other name

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1346914074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "516-801-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SHOWPLACE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645004",
            "telephone_number": "516-801-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE MEDICAL PCP ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR ADVISOR",
        "authorized_official_telephone_number": "917-673-6321"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Medical Naperville IL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advance Care Medical Naperville IL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Adler
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• Adrienne Adams MD and Associates, Inc
• Adult & Pediatric Dermatology of Naperville, LTD.
• Advance Care Medical Illinois
• Advance Family Dental Care, LTD.
• Advance Rehab Network, Inc.
• Advance Sports Therapy
• Advanced Ankle & Foot Care Center LTD
• Advanced Behavioral Health Services LLC

• Primary Care Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.