ADVANCED DIABETES & ENDOCRINCE CENTER, P.C. - NPI 1063500387

Q: What is Advanced Diabetes & Endocrince Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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About Advanced Diabetes & Endocrince Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DIABETES & ENDOCRINCE CENTER, P.C. (NPI 1063500387) is a healthcare organization registered as a medical specialty in Libertyville, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Maan Barhoum, Md, as its authorized official.

NPPES Registry Identity

NPI1063500387

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameADVANCED DIABETES & ENDOCRINCE CENTER, P.C.

Location Address755 S. MILWAUKEE AVE, SUITE 186Libertyville, IL 60048

Mailing Address755 S. Milwaukee Ave, Suite 186Libertyville, IL 60048 · (847) 573-9455

Phone(847) 573-9455

Organization SubpartNo

Authorized OfficialMaan BarhoumMd · (847) 573-9455

Enumeration DateOctober 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1063500387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

755 S. MILWAUKEE AVE, Libertyville, IL 60048

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1061210

Advanced Diabetes & Endocrine Center · Libertyville, IL

Active · expires Nov 12, 2026

CLIA Number14D1061210

Laboratory TypePhysician Office

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorMaan Barhoum

Laboratory Phone(847) 573-9455

Laboratory LocationAdvanced Diabetes & Endocrine Center755 S Milwaukee Ave, Suite 186, Libertyville, IL 60048

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Diabetes & Endocrince Center, P.C.'s NPI number?

The NPI number for Advanced Diabetes & Endocrince Center, P.C. is 1063500387. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Advanced Diabetes & Endocrince Center, P.C. located?

Advanced Diabetes & Endocrince Center, P.C. is located at 755 S. Milwaukee Ave Suite 186, Libertyville, IL 60048. The listed phone number is (847) 573-9455.

What is Advanced Diabetes & Endocrince Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Advanced Diabetes & Endocrince Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1061210) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Diabetes & Endocrince Center, P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.