# ADVANCED PRACTICE NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Practice Network, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790401701
- **Authorized official:** SHELIA LAVETTE MARTIN FNP-BC (PRESIDENT)
- **Authorized official phone:** (773) 709-6679

## Contact information

- **Practice address:** 1444 W 74TH ST, CHICAGO, IL 60636-4028
- **Practice address phone:** (773) 709-6679
- **Mailing address:** 1444 W 74TH ST, CHICAGO, IL 60636-4028
- **Mailing address phone:** (773) 709-6679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 05/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154820413 | NPI TYPE 1 | IL |