Advance Providers Health and Wellness Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ADVANCE PROVIDERS HEALTH AND WELLNESS CLINIC

Practice address

1820 Ridge Rd
Homewood, IL 60430-1760

Phone

(312) 546-0525

NPI assigned

Jul 14, 2026

Last updated

Jul 14, 2026By 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

Kytori Tolbert-Johnson, APRN

Title

Manager

Phone

(773) 941-9750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1487573242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "312-546-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "312-546-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PROVIDERS HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "TOLBERT-JOHNSON",
        "authorized_official_first_name": "KYTORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-941-9750",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Homewood, IL
• Providers in Homewood, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.