ADVANCED INTEGRATIVE HEALTHCARE (FAMILY DOCTOR'S OF DUPAGE, S.C.) NPI 1003010554

Clinic/Center (Primary Care) in Bloomingdale, IL

NPI 1003010554 Organization Clinic/Center Primary Care CLIA Number 14D0415196 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About ADVANCED INTEGRATIVE HEALTHCARE (FAMILY DOCTOR'S OF DUPAGE, S.C.)

Advanced Integrative Healthcare (family Doctor's Of Dupage, S.c.) is a primary care provider established in Bloomingdale, Illinois specializing in clinic/center (primary care) . The NPI number of Advanced Integrative Healthcare (family Doctor's Of Dupage, S.c.) is 1003010554 and was assigned on June 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Advanced Integrative Healthcare. The authorized official of this NPI record is Dr. William L. Epperly M.d. (President)

A primary care provider (PCP) like Advanced Integrative Healthcare sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Advanced Integrative Healthcare is 14D0415196 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Advanced Integrative Healthcare in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1003010554

Provider NameADVANCED INTEGRATIVE HEALTHCARE (FAMILY DOCTOR'S OF DUPAGE, S.C.)
Provider Location Address245 S GARY AVE SUITE 105 BLOOMINGDALE, IL 60108
Provider Mailing Address245 S GARY AVE SUITE 105 BLOOMINGDALE, IL 60108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameADVANCED INTEGRATIVE HEALTHCARE
Other Name TypeDoing Business As (3)
Enumeration Date06-11-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License StateIL

Business Address

ADVANCED INTEGRATIVE HEALTHCARE
245 S GARY AVE
SUITE 105
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-9661
Fax: (630) 893-5665

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Mailing Address

ADVANCED INTEGRATIVE HEALTHCARE
245 S GARY AVE
SUITE 105
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-9661
Fax: (630) 893-5665



Authorized Official

Authorized Official NameDR. WILLIAM L. EPPERLY M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(630) 893-9661

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003010554 is:

CLIA Number14D0415196
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407807548 DEBORAH GREEN CNM
Individual
Registered Nurse245 S GARY AVE LOWER LEVEL
BLOOMINGDALE, IL 60108
(630) 893-5230
1003820820 NICHOLAS J ZORETIC DO
Individual
Family Medicine245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 60108
(630) 924-4009
1235230459 CATHERINE S CHONG MD
Individual
Physical Medicine & Rehabilitation245 S GARY AVE STE 105
BLOOMINGDALE, IL 60108
(630) 893-9661
1821172511DR. PAUL STEVEN MENET MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)245 S GARY AVE SUITE 202
BLOOMINGDALE, IL 60108
(630) 893-2190
1437209178 MARY BIZIOS DO
Individual
Family Medicine245 S GARY AVE #204
BLOOMINGDALE, IL 60108
(630) 894-7505
1366581811DUPAGE META-VASCULAR MEDICINE PC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)245 S GARY AVE SUITE 202
BLOOMINGDALE, IL 60108
(630) 893-2190
1598939803ISAAC I. COHEN, M.D.,S.C.
Organization
Internal Medicine (Hematology & Oncology)245 S GARY AVE SUITE 207
BLOOMINGDALE, IL 60108
(630) 539-2540
1164668554MR. RAFAEL ARMANDO VALADEZ L.C.S.W.
Individual
Social Worker (Clinical)245 S GARY AVE SUITE 201
BLOOMINGDALE, IL 60108
(630) 893-5230
1518251149MRS. TALLY LYNN HOLLIN A.P.N.
Individual
Nurse Practitioner (Family)245 S GARY AVE LOWER LEVEL
BLOOMINGDALE, IL 60108
(630) 893-5230
1275568289 MICHAEL J MCGRAW MD
Individual
Family Medicine245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 60108
(630) 924-4009
1760669469DR. CHARITY URSUA ALIKPALA D.O.
Individual
Family Medicine245 S GARY AVE SUITE LL
BLOOMINGDALE, IL 60108
(630) 893-5230
1447244918DR. ROBIN J ROBINSON M.D.
Individual
Preventive Medicine (Occupational Medicine)245 S GARY AVE ST. 200
BLOOMINGDALE, IL 60108
(630) 894-8404
1427447713 TRI COLIN CONG TRAN PA-C
Individual
Physician Assistant (Medical)245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 893-5230
1467873174 VICTOR FERENZI
Individual
Physical Therapist245 S GARY AVE SUITE 101
BLOOMINGDALE, IL 60108
(630) 315-1711
1326436767MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC
Organization
Family Medicine245 S GARY AVE SUITE 204
BLOOMINGDALE, IL 60108
(630) 351-9170
1710902713 KENDRA ERVEN P.T.
Individual
Physical Therapist245 S GARY AVE SUITE 101
BLOOMINGDALE, IL 60108
(630) 315-8710
1487039400 XIMENA BRAVO LCSW
Individual
Social Worker (Clinical)245 S GARY AVE SUITE LL
BLOOMINGDALE, IL 60108
(630) 893-5230
1124384789 KAVITA SHANKER-PATEL M.D.
Individual
Family Medicine245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 924-4009
1841748167MRS. VIVIANA RIVERA FNP
Individual
Nurse Practitioner (Family)245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 893-5230
1881773232ACCESS COMMUNITY HEALTH NETWORK
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 893-5230

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.