Organization
ADVANCED HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MOUTON (OWNER)
(708) 364-9606
Entity
Organization
Contact information
Practice address
1924 SPRINGBROOK SQUARE DR, NAPERVILLE, IL 60564-5956
(630) 527-0188
(708) 364-9607
Mailing address
10646 165TH ST., ORLAND PARK, IL 60467-5653
(708) 364-9606
(708) 364-9607
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
203000641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203000641
STATE LICENSE
IL
Enumeration date
12/05/2006
Last updated
11/24/2025
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