Advanced Internal Medicine, LLC
Organization Active NPI Internal Medicine Physician · Mount Vernon, IL
NPI 1508063405 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1508063405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036116700 (IL)
- Legal business name
- ADVANCED INTERNAL MEDICINE, LLC
- Practice address
- 605 N 12TH St
Hospitalist Office
Mount Vernon, IL 62864-2857 - Phone
- (618) 241-4016
- Fax
- (618) 241-3837
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Loren Jay Chassels, D.O.
- Title
- Owner
- Phone
- (618) 241-4016
Practitioners 1
-
Janet L Alvarado, M.D.
National Provider Directory
Locations
605 N 12th St
Ofc
Mount Vernon, IL 62864
Phone (618) 241-4016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036116700 | IL | Yes |
Addresses
Primary practice location
605 N 12TH St
Hospitalist Office
Mount Vernon, IL 62864-2857
Mailing address
PO Box 442
Highland, IL 62249-0442
Phone (618) 241-4016
Other providers in Mount Vernon, IL
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- Andrea Lynn Adams
- Bayly Lynn Adams
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- Joon S Ahn
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All providers in Mount Vernon, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.