Advanced Orthopedic Clinic LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036060200 Issued in IL

Legal business name

ADVANCED ORTHOPEDIC CLINIC LLC

Practice address

3 Country Club Executive Park
Suite 100
Glen Carbon, IL 62034-1583

Phone

(618) 288-8885

Fax

(618) 288-8886

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Harold Miller, M.D.

Title

Ceo/Owner

Phone

(618) 288-8885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1396765848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COUNTRY CLUB EXECUTIVE PARK",
            "address_2": "SUITE 100",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COUNTRY CLUB EXECUTIVE PARK",
            "address_2": "SUITE 100",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341583",
            "telephone_number": "618-288-8885",
            "fax_number": "618-288-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-288-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036060200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 360 Body Wellness Inc
• A Better Life Counseling, LLC
• Active Rehab Chiropractic LLC
• Donya Adkerson, LCPC, LSOTP, LSOE
• Advanced Medical Weight Loss RX S.C.
• Advantage Nursing Services Inc
• Brianna Lanae Ahlmeyer, RN
• Ahs Il Medical Group LLC
• James Samuel Akeman, RBT
• Annette L Albertson

• Orthopaedic Surgery Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.