Advanced Health Services, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

203000642 Issued in IL

Legal business name

ADVANCED HEALTH SERVICES, INC.

Practice address

900 Technology Way
Suite 120
Libertyville, IL 60048-5364

Phone

(847) 231-4507

Fax

(708) 364-9607

NPI assigned

Dec 5, 2006

Last updated

Apr 29, 2014By 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

Dr. Andrew Mouton, PH.D.NPI 1477500825

Title

Owner

Phone

(708) 364-0261

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Advanced Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Glenview, IL
  • NPI 1164754644

  4284842030

  Same PAC ID
• Advanced Health Services, Inc.

  • Customized Equipment (DME)
  • Chicago, IL
  • NPI 1447318191

  4284842030

  Same PAC ID
• Advanced Health Services, Inc.

  • Customized Equipment (DME)
  • Naperville, IL
  • NPI 1487712113

  4284842030

  Same PAC ID
• Advanced Health Services, Inc.

  dba Advanced Health

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
  • NPI 1922050434

  4284842030

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply 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.

• Andrew B Mouton, PHD

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1477500825
  Authorized official Same address or phone

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1407914153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10646 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678734",
            "telephone_number": "708-364-9606",
            "fax_number": "708-364-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TECHNOLOGY WAY",
            "address_2": "SUITE 120",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485364",
            "telephone_number": "847-231-4507",
            "fax_number": "708-364-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-364-0261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203000642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "203000642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine T Adique, APNP
• Philip N Adjei, M.D.
• Ellen Cristine Adler, MS CCC-SLP
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• Advanced Peritoneal Dialysis Center
• Advanced Vein and Laser Centre,LTD
• Advantage Anesthesia P.C.
• Advocate Condell Ambulatory Surgery Center, LLC
• Advocate Condell Medical Center

• Customized Equipment (DME) in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.