| Advanced Clinic, Ltd. | |
|
1600 N Randall Road Suite 135 Elgin IL 60123-7810 | |
| (847) 931-7274 | |
| (847) 931-7159 |
| Full Name | Advanced Clinic, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 N Randall Road, Elgin, Illinois |
| Authorized Official Name and Position | Thomas Lequn Cao (PRESIDENT) |
| Authorized Official Contact | 8477176860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Clinic, Ltd. 1600 N Randall Rd Suite 135 Elgin IL 60123-7810 Ph: (847) 931-7274 | Advanced Clinic, Ltd. 1600 N Randall Road Suite 135 Elgin IL 60123-7810 Ph: (847) 931-7274 |
| NPI Number | 1326101544 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326101544 | NPI | - | NPPES |
| 036118999 | Medicaid | IL | |
| 036119056 | Medicaid | IL | |
| 01635557 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036098274 (Illinois) | Primary |
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