Advanced Physicians, S.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ADVANCED PHYSICIANS, S.C.

Practice address

16101 Weber Rd
Crest Hill, IL 60435-8742

Phone

(815) 836-3788

Fax

(815) 836-8784

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By 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. Dana M. Vallandigham, D.C.NPI 1780631481

Title

President

Phone

(630) 789-3338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
  • NPI 1124075288

  6103879713

  Same PAC ID

Tax ID family

Advanced Physicians SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
  • NPI 1124075288
  NPD tax ID

Locations

Practitioners 3

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.

• Dana M. Vallandigham, D.C.

  • Chiropractor
  • Willowbrook, IL
  • NPI 1780631481
  NPD (past) Authorized official
• Gregory T Goldstein, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1821063496
  NPD
• Sherry Massey, D.C.

  • Chiropractor
  • Willowbrook, IL
  • NPI 1043266133
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467409490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 KINGERY HWY",
            "address_2": "SUITE 404",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605272248",
            "telephone_number": "630-789-3338",
            "fax_number": "630-789-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604358742",
            "telephone_number": "815-836-3788",
            "fax_number": "815-836-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIANS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLANDIGHAM",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-789-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Dental, P.C.
• Advanced Family Dental, P.C.
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• Advanced Physicians Group
• Advanced Physicians, S.C.
• Advanced Therapy & Wellness Center, P.C.
• George Antoine Aghia, M.D.
• Evaristo Peralta Aguinaldo Jr., M.D
• Azeem Mohsin Ahsan, DO
• Javeed Akhter, MD

• Diagnostic Radiology Physician in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.