ADVANCED ORTHOPEDIC CLINIC LLC
NPI 1396765848
Orthopaedic Surgery in Glen Carbon, IL

Active since July 20, 2006
3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100, GLEN CARBON, IL 62034(618) 288-8885(618) 288-8886 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Orthopedic Clinic Llc NPPES

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

ADVANCED ORTHOPEDIC CLINIC LLC (NPI 1396765848) is a healthcare organization registered as an orthopaedic surgery in Glen Carbon, Illinois and active in the NPI registry since July 2006. The organization lists Maurice Harold Miller, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1396765848
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameADVANCED ORTHOPEDIC CLINIC LLC
Location Address3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100Glen Carbon, IL 62034-1583
Mailing Address3 Country Club Executive Park, Suite 100Glen Carbon, IL 62034-1583
Fax(618) 288-8886
Organization SubpartNo
Authorized OfficialMaurice Harold MillerCeo/owner · (618) 288-8885
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 13, 2008
NPI 1396765848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036060200
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3 COUNTRY CLUB EXECUTIVE PARK, Glen Carbon, IL 62034

Other Identifiers 2

Medicare UPIND14993IL
Medicare NSC6039260001IL

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

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 Orthopedic Clinic LLC's NPI number?

The NPI number for Advanced Orthopedic Clinic LLC is 1396765848. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Advanced Orthopedic Clinic LLC located?

Advanced Orthopedic Clinic LLC is located at 3 Country Club Executive Park Suite 100, Glen Carbon, IL 62034. The listed phone number is (618) 288-8885.

What is Advanced Orthopedic Clinic LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Advanced Orthopedic Clinic LLC was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.