ADVANCE HEALTH PROVIDERS LLC
NPI 1063735413
Nurse Practitioner - Adult Health in Montgomery, IL

Active since March 12, 2010
2460 HANBURY LN, MONTGOMERY, IL 60538(630) 708-6941(630) 344-8100 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advance Health Providers Llc NPPES

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

ADVANCE HEALTH PROVIDERS LLC (NPI 1063735413) is a healthcare organization registered as an adult health in Montgomery, Illinois and active in the NPI registry since March 2010. The organization lists Victoria D Faustino, President, as its authorized official.

NPPES Registry Identity

NPI1063735413
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameADVANCE HEALTH PROVIDERS LLC
Location Address2460 HANBURY LNMontgomery, IL 60538-5049
Mailing Address2460 Hanbury LnMontgomery, IL 60538-5049 · (630) 708-6941 · Fax (630) 344-8100
Fax(630) 344-8100
Organization SubpartNo
Authorized OfficialVictoria D FaustinoPresident · (630) 267-2627
Enumeration DateMarch 12, 2010
Last NPPES UpdateFebruary 10, 2011
NPI 1063735413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209.006796
2460 HANBURY LN, Montgomery, IL 60538

Other Identifiers 1

Medicare PINIL3767IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2460 HANBURY LN
MONTGOMERY, IL 60538

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 Advance Health Providers LLC's NPI number?

The NPI number for Advance Health Providers LLC is 1063735413. It was assigned to this organization in the NPPES registry on March 12, 2010.

Where is Advance Health Providers LLC located?

Advance Health Providers LLC is located at 2460 Hanbury Ln, Montgomery, IL 60538. The listed phone number is (630) 708-6941.

What is Advance Health Providers LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Advance Health Providers LLC was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.