Organization Active NPI

Advance Care Medical Illinois

  • Urgent Care Clinic/Center
  • Naperville, IL
National Provider Identifier
1790357416
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVANCE CARE MEDICAL ILLINOIS
Practice address
2975 Showplace Dr
Naperville, IL 60564-5004
Phone
(866) 668-2188
NPI assigned
Jul 13, 2021
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Douglas Millar
Title
Senior Adviser
Phone
(917) 673-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2975 Showplace Dr
Naperville, IL 60564-5004

Mailing address

3 School St
Glen Cove, NY 11542-2590
Phone (866) 668-2188

Other names 1

  • Advance Care Medical Naperville IL Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1790357416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "866-668-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SHOWPLACE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645004",
            "telephone_number": "866-668-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE MEDICAL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR ADVISER",
        "authorized_official_telephone_number": "917-673-6321"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Medical Naperville IL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advance Care Medical Naperville IL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 11, 2022; 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.