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Organization

ADVANCE PROVIDERS HEALTH AND WELLNESS CLINIC

Active
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Organization

ADVANCE PROVIDERS HEALTH AND WELLNESS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYTORI TOLBERT-JOHNSON APRN (MANAGER)
(773) 941-9750
Entity
Organization

Contact information

Practice address
1820 RIDGE RD, HOMEWOOD, IL 60430-1760
(312) 546-0525
Mailing address
1820 RIDGE RD, HOMEWOOD, IL 60430-1760
(312) 546-0525

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
07/14/2026
Last updated
07/14/2026
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