# ADVANCE CHILD CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306217385
- **Authorized official:** NASEERUDDIN GULAM KHAN MD. (DIRECTOR)
- **Authorized official phone:** (773) 984-2939

## Contact information

- **Practice address:** 2040 W DEVON AVE, CHICAGO, IL 60659-2128
- **Practice address phone:** (773) 984-2939
- **Mailing address:** 5742 N CHRISTIANA AVE, APT 1.S, CHICAGO, IL 60659-4594
- **Mailing address phone:** (773) 984-2939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036126888 | IL | Yes |

## Other

- **Enumeration date:** 10/15/2015
- **Last updated:** 09/13/2016