Organization
ADVANCED PRACTICE NETWORK, LLC
Active
Other names
Advanced Practice Network, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA LAVETTE MARTIN FNP-BC (PRESIDENT)
(773) 709-6679
Entity
Organization
Contact information
Practice address
1444 W 74TH ST, CHICAGO, IL 60636-4028
(773) 709-6679
Mailing address
1444 W 74TH ST, CHICAGO, IL 60636-4028
(773) 709-6679
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154820413
NPI TYPE 1
IL
Enumeration date
10/12/2022
Last updated
05/17/2023
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