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ADVANCED FAMILY MEDICINE, PLLC
NPI 1235925587
Family Medicine in La Grange Highlands, IL

Active since April 15, 2025CLIA 14D2319444 · Waiver
5201 WILLOW SPRINGS RD STE 180, LA GRANGE HIGHLANDS, IL 60525(708) 929-6099(708) 929-6169 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Family Medicine, Pllc NPPES

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

ADVANCED FAMILY MEDICINE, PLLC (NPI 1235925587) is a healthcare organization registered as a family medicine in La Grange Highlands, Illinois and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Toni Conwell, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1235925587
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED FAMILY MEDICINE, PLLC
Location Address5201 WILLOW SPRINGS RD STE 180La Grange Highlands, IL 60525-6506
Mailing Address5201 Willow Springs Rd Ste 180La Grange Highlands, IL 60525-6506 · (708) 929-6099 · Fax (708) 929-6169
Phone(708) 929-6099
Fax(708) 929-6169
Organization SubpartNo
Authorized OfficialToni ConwellPractice Manager · (708) 712-4381
Enumeration DateApril 15, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1235925587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5201 WILLOW SPRINGS RD STE 180, La Grange Highlands, IL 60525
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Chen, DO
Family Practice
NPI 1356355812
5201 WILLOW SPRINGS RD STE 180
La Grange Highlands, IL 60525
(708) 929-6099
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Robertson, DO
Family Practice
NPI 1376553875
5201 WILLOW SPRINGS RD STE 180
La Grange Highlands, IL 60525
(708) 929-6099
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2319444

Advanced Family Medicine · La Grange, IL
Active · expires Feb 27, 2027
CLIA Number14D2319444
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDaniel Chen
Laboratory Phone(708) 929-6099
Laboratory LocationAdvanced Family Medicine5201 Willow Springs Rd #180, La Grange, IL 60525
CLIA data matches this NPI record on: Name 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 Family Medicine, PLLC's NPI number?

The NPI number for Advanced Family Medicine, PLLC is 1235925587. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Advanced Family Medicine, PLLC located?

Advanced Family Medicine, PLLC is located at 5201 Willow Springs Rd Ste 180, La Grange Highlands, IL 60525. The listed phone number is (708) 929-6099.

What is Advanced Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Advanced Family Medicine, PLLC enrolled in Medicare?

Yes. Advanced Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Advanced Family Medicine, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2319444) is associated with this NPI, valid through February 27, 2027. 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 Family Medicine, PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.