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Contact Information

CENTER FOR ADVANCED MEDICINE LLC
5036 N ILLINOIS ST
SUITE 1
FAIRVIEW HEIGHTS, IL62208
 Phone: 618-671-6800
 Fax: 619-671-6604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CENTER FOR ADVANCED MEDICINE LLC · (Female)

NPI Number 1255746715
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2014
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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