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Organization

ADVANCE CHILD CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NASEERUDDIN GULAM KHAN MD. (DIRECTOR)
(773) 984-2939
Entity
Organization

Contact information

Practice address
2040 W DEVON AVE, CHICAGO, IL 60659-2128
(773) 984-2939
Mailing address
5742 N CHRISTIANA AVE, APT 1.S, CHICAGO, IL 60659-4594
(773) 984-2939

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036126888
IL

Other

Enumeration date
10/15/2015
Last updated
09/13/2016
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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.

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