| Advanced Medical Practices Sc | |
|
1875 Dempster St Park Ridge IL 60068-1186 | |
| (847) 897-9010 | |
| Not Available |
| Full Name | Advanced Medical Practices Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1875 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Andrey Lev-weissberg (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8475250421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Practices Sc 4514 Davis St Skokie IL 60076-1667 Ph: (847) 525-0421 | Advanced Medical Practices Sc 1875 Dempster St Park Ridge IL 60068-1186 Ph: (847) 897-9010 |
| NPI Number | 1629266788 |
|---|---|
| Provider Enumeration Date | 10/13/2007 |
| Last Update Date | 03/29/2010 |
| Medicare PECOS PAC ID | 5698784635 |
|---|---|
| Medicare Enrollment ID | O20060419000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629266788 | NPI | - | NPPES |
| 036114127 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036114127 (Illinois) | Primary |
| Provider Name | Andrey Lev-weissberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245206655 PECOS PAC ID: 7810906864 Enrollment ID: I20060427000141 |
| Provider Name | Volha Haliantava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598008351 PECOS PAC ID: 9335430586 Enrollment ID: I20161024000808 |
| Provider Name | Merchant Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891156444 PECOS PAC ID: 8628351871 Enrollment ID: I20170213002266 |
| Provider Name | Mary-jennelle Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225397268 PECOS PAC ID: 4789931817 Enrollment ID: I20210104002202 |
| Provider Name | Michael Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114543055 PECOS PAC ID: 8527456599 Enrollment ID: I20211025000074 |
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