Organization
CENTER FOR ADVANCED MEDICINE LLC
Active
Organization
CENTER FOR ADVANCED MEDICINE LLC
Active
Other names
Performance Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS AMBROSE (OWNER/CEO)
(618) 420-9360
Entity
Organization
Contact information
Practice address
5036 N ILLINOIS ST, SUITE 1, FAIRVIEW HEIGHTS, IL 62208
(618) 671-6800
(619) 671-6604
Mailing address
5036 N ILLINOIS ST, STE 1, FAIRVIEW HEIGHTS, IL 62208-3411
(618) 671-6800
(618) 671-6604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
07/18/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up