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Organization
ADVANCED LONG TERM CARE ACO PLLC
Active
Organization
ADVANCED LONG TERM CARE ACO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LEE (DIRECTOR)
(941) 380-0606
Entity
Organization
Contact information
Practice address
3919 W FOSTER AVE, CHICAGO, IL 60625-6056
(941) 380-0606
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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