Organization Active NPI

Avance Health LLC

  • Technician/Technologist
  • Highland Park, IL
National Provider Identifier
1912627720
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
AVANCE HEALTH LLC
Practice address
513 Central Ave
Highland Park, IL 60035-2624
Phone
(630) 532-1623
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Elizabeth Claire Smith, JD
Title
Chief Legal Officer
Phone
(630) 532-1623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

513 Central Ave
Highland Park, IL 60035-2624

Mailing address

513 Central Ave
Highland Park, IL 60035-2624
Phone (630) 532-1623

National Provider Directory

National Provider Directory

Locations

513 Central Ave
Highland Park, IL 60035
Phone (630) 532-1623

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1912627720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352624",
            "telephone_number": "630-532-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352624",
            "telephone_number": "630-532-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANCE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "630-532-1623",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.