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Organization

MEDADVANCE ILLINOIS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY WIMBERG (VP BILLING OPERATIONS)
(440) 652-8748
Entity
Organization

Contact information

Practice address
401 N MULBERRY ST, EFFINGHAM, IL 62401-2009
(440) 652-8748
(440) 582-3171
Mailing address
731 BAY AVE, SOMERS POINT, NJ 08244-2378
(440) 652-8748
(440) 582-3171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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