Advance Care Medical PCP Illinois

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCE CARE MEDICAL PCP ILLINOIS

Practice address

780 S Weber Rd
Romeoville, IL 60446-7500

Phone

(516) 801-1552

NPI assigned

Jul 13, 2021

Last updated

Jun 28, 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 1

Addresses

Other names 1

• Advance Care Medical Romeoville IL Other name

Locations

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.

• Mayra Garibay, PA

  • Physician Assistant
  • Orland Park, IL
  • NPI 1891469615
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1356913081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST STE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422548",
            "telephone_number": "516-801-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604467500",
            "telephone_number": "516-801-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE MEDICAL PCP ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Medical Romeoville IL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advance Care Medical Romeoville IL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Accessible Medical Transportation LLC
• Sara I Adames
• Phyllis Asor Adjokatcher
• Advance Care Medical Illinois
• Advanced Family Dental of Romeoville, P.C.
• Adventist Health Partners, Inc (Weber Medical Center)
• Stephanie Agyapon
• Aminat Akeju
• Shannon N Aldridge, LSW

• Primary Care Clinic/Center in Romeoville, IL
• Providers in Romeoville, 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 Jun 28, 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.