Advanced Family Medicine, Pllc | |
5201 Willow Springs Rd Ste 180 La Grange Highlands IL 60525-6506 | |
(708) 929-6099 | |
(708) 929-6169 |
Full Name | Advanced Family Medicine, Pllc |
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Speciality | Family Medicine |
Location | 5201 Willow Springs Rd Ste 180, La Grange Highlands, Illinois |
Authorized Official Name and Position | Toni Conwell (PRACTICE MANAGER) |
Authorized Official Contact | 7087124381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Family Medicine, Pllc 5201 Willow Springs Rd Ste 180 La Grange Highlands IL 60525-6506 Ph: (708) 929-6099 | Advanced Family Medicine, Pllc 5201 Willow Springs Rd Ste 180 La Grange Highlands IL 60525-6506 Ph: (708) 929-6099 |
NPI Number | 1235925587 |
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Provider Enumeration Date | 04/15/2025 |
Last Update Date | 04/23/2025 |
Medicare PECOS PAC ID | 6507375755 |
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Medicare Enrollment ID | O20250530002040 |
Identifier | Type | State | Issuer |
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1235925587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Chen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356355812 PECOS PAC ID: 8921100751 Enrollment ID: I20070226000655 |
Provider Name | Scott D Robertson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376553875 PECOS PAC ID: 6901861772 Enrollment ID: I20101102001356 |
Robert J Becker Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd, La Grange Highlands, IL 60525 Phone: 708-354-5631 Fax: 708-482-0106 |