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Organization

ADVANCE CARE MEDICAL PCP ILLINOIS

Active
Other names
Advance Care Medical Naperville IL
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS MILLAR (SENIOR ADVISOR)
(917) 673-6321
Entity
Organization

Contact information

Practice address
2975 SHOWPLACE DR, NAPERVILLE, IL 60564-5004
(516) 801-1552
Mailing address
3 SCHOOL ST, GLEN COVE, NY 11542-2590
(516) 801-1552

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/05/2021
Last updated
08/03/2022
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