Active NPI
Advanced Addiction Consultants Co
- Addiction Medicine (Internal Medicine) Physician
- Park Ridge, IL
National Provider Identifier
1407588031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.