Advanced Clinics PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038-006379 Issued in IL

Legal business name

ADVANCED CLINICS PC

Practice address

10644 S Cicero Ave
Oak Lawn, IL 60453-5268

Phone

(708) 425-2700

Fax

(708) 423-2761

NPI assigned

Aug 4, 2009

Last updated

Sep 29, 2009By 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

Desmond Martello, D.CNPI 1992867725

Title

President

Phone

(708) 425-2700

Specialties & licenses 1

Addresses

Locations

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.

• Desmond J Martello, D.C

  • Chiropractor
  • Oak Lawn, IL
  • NPI 1992867725
  Authorized official Same address or phone

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1952532269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10644 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535268",
            "telephone_number": "708-425-2700",
            "fax_number": "708-423-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10644 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535268",
            "telephone_number": "708-425-2700",
            "fax_number": "708-423-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MARTELLO",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-2700",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038-006379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.