# ADVANCE CARE MEDICAL ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Care Medical Romeoville IL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396419040
- **Authorized official:** DOUGLAS MILLAR (SENIOR ADVISOR)
- **Authorized official phone:** (917) 673-6321

## Contact information

- **Practice address:** 780 S WEBER RD, ROMEOVILLE, IL 60446-7500
- **Practice address phone:** (516) 801-1552
- **Mailing address:** 3 SCHOOL ST, GLEN COVE, NY 11542-2590
- **Mailing address phone:** (516) 801-1552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 05/11/2022