Organization Active NPI

Advanced Addiction Consultants Co

  • Addiction Medicine (Internal Medicine) Physician
  • Park Ridge, IL
National Provider Identifier
1407588031
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ADVANCED ADDICTION CONSULTANTS CO
Doing business as
Advanced Addiction Consultants Co
Practice address
1875 Dempster St Ste 110
Park Ridge, IL 60068-1125
Phone
(847) 897-9010
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Andrey Lev-Weissberg, MD
Title
Owner
Phone
(847) 897-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125

Mailing address

541 Helen Dr
Northbrook, IL 60062-2527
Phone (847) 897-9010

Other names 1

  • Advanced Addiction Consultants Co Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1407588031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HELEN DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622527",
            "telephone_number": "847-897-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 110",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681125",
            "telephone_number": "847-897-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ADDICTION CONSULTANTS CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "LEV-WEISSBERG",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-897-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Addiction Consultants Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

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