Organization Active NPI

Advanced Physician Services

  • Multi-Specialty Clinic/Center
  • Naperville, IL
National Provider Identifier
1699109041
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
038006364 Issued in IL
Legal business name
ADVANCED PHYSICIAN SERVICES
Practice address
888 S Route 59
#140
Naperville, IL 60540-0962
Phone
(630) 730-9200
Fax
(630) 357-9065
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mark Frohm, DC
Title
Ceo
Phone
(630) 730-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 038006364 IL Primary

Addresses

Primary practice location

888 S Route 59
#140
Naperville, IL 60540-0962

Mailing address

888 S Route 59
#140
Naperville, IL 60540-0962
Phone (630) 730-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1699109041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S ROUTE 59",
            "address_2": "#140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400962",
            "telephone_number": "630-730-9200",
            "fax_number": "630-357-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S ROUTE 59",
            "address_2": "#140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400962",
            "telephone_number": "630-730-9200",
            "fax_number": "630-357-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "FROHM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-730-9200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "038006364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.