Advanced Primary Health Care SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036111540 Issued in IL

Legal business name

ADVANCED PRIMARY HEALTH CARE SC

Practice address

1256 Waterford Drive
Suite 110
Aurora, IL 60504

Phone

(630) 978-9777

Fax

(630) 978-9771

NPI assigned

Jan 25, 2008

Last updated

Dec 1, 2011By 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

Majad Ali, M.D.

Title

President

Phone

(630) 362-9723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1609053297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DRIVE",
            "address_2": "SUITE 110",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-978-9777",
            "fax_number": "630-978-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DRIVE",
            "address_2": "SUITE 110",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-978-9777",
            "fax_number": "630-978-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRIMARY HEALTH CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-362-9723",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036111540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.