# ADVANCED INTERNAL MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508063405
- **Authorized official:** DR. LOREN JAY CHASSELS D.O. (OWNER)
- **Authorized official phone:** (618) 241-4016

## Contact information

- **Practice address:** 605 N 12TH ST, HOSPITALIST OFFICE, MOUNT VERNON, IL 62864-2857
- **Practice address phone:** (618) 241-4016
- **Practice address fax:** (618) 241-3837
- **Mailing address:** PO BOX 442, HIGHLAND, IL 62249-0442
- **Mailing address phone:** (618) 241-4016
- **Mailing address fax:** (618) 241-3837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036116700 | IL | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 05/01/2012