Organization Active NPI

Advanced Care of Illinois, Inc.

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1659700458
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309002422 Issued in IL
Legal business name
ADVANCED CARE OF ILLINOIS, INC.
Practice address
21251 N Crestview Dr
Barrington, IL 60010-2986
Phone
(847) 840-1900
Fax
(847) 382-6352
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth Bodie Gross, APN, FNPNPI 1821097957
Title
Principal
Phone
(847) 840-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 309002422 IL Primary

Addresses

Primary practice location

21251 N Crestview Dr
Barrington, IL 60010-2986

Mailing address

21251 N Crestview Dr
Barrington, IL 60010-2986
Phone (847) 840-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1659700458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21251 N CRESTVIEW DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102986",
            "telephone_number": "847-840-1900",
            "fax_number": "847-382-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21251 N CRESTVIEW DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102986",
            "telephone_number": "847-840-1900",
            "fax_number": "847-382-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "BODIE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-840-1900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "309002422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.