Advanced Family Practice, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ADVANCED FAMILY PRACTICE, PLLC

Practice address

1657 Arcadia St
Morton Grove, IL 60053

Phone

(210) 269-6764

Fax

(210) 269-6764

NPI assigned

Jun 10, 2026

Last updated

Jun 10, 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

Gordon MesaNPI 1740653559

Title

Owner

Phone

(210) 269-6764

Specialties & licenses 1

Addresses

Tax ID family

Advanced Family Practice PLLC2 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 Family Practice, PLLC

  • Family Nurse Practitioner
  • Morton Grove, IL
  • NPI 1174451991
  NPD tax ID

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.

• Gordon Mesa, DNP, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1740653559
  NPD Authorized official

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1639003122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 ARCADIA ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "210-269-6764",
            "fax_number": "210-269-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 ARCADIA ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "60053",
            "telephone_number": "210-269-6764",
            "fax_number": "210-269-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-269-6764"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 360 Rehabilitation & Physical Therapy LLC
• A Sarang Acupuncture
• Access Home Health Care Inc
• Advanced Dentistry at Morton Grove
• Advanced Family Practice, PLLC
• Advanced Primary Care, SC
• Lizbeth Aguirre Ocampo
• Sundus Ahsan, P.A.-C
• Ainslie Counseling and Consulting PLLC
• Akg Medical Service Corporation

• Family Nurse Practitioner in Morton Grove, IL
• Providers in Morton Grove, 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 Jun 10, 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.