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ADVANCED ENDOMETRIOSIS CENTER
NPI 1598462426
Obstetrics & Gynecology - Gynecology in Lisle, IL

Active since February 10, 2023CLIA 14D2291844 · Waiver
3033 OGDEN AVE STE 300, LISLE, IL 60532(331) 702-2455(331) 229-8191 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2024, May 10, 2023, Mar 11, 2023 and 1 more (4 updates tracked since 2023).

About Advanced Endometriosis Center NPPES

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

ADVANCED ENDOMETRIOSIS CENTER (NPI 1598462426), doing business as Advanced Care & Medspa, is a healthcare organization registered as a gynecology in Lisle, Illinois and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Fadel Fons Talasoun Azer, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1598462426
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameADVANCED GYNECOLOGY PRACTICE LLC
Location Address3033 OGDEN AVE STE 300Lisle, IL 60532-1976
Mailing Address3033 Ogden Ave Ste 300Lisle, IL 60532-1976 · (331) 702-2455 · Fax (331) 229-8191
Phone(331) 702-2455
Fax(331) 229-8191
Organization SubpartNo
Authorized OfficialFadel Fons Talasoun AzerMember/owner · (331) 702-2455
Enumeration DateFebruary 10, 2023
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1598462426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
3033 OGDEN AVE STE 300, Lisle, IL 60532
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Other Names 2

Other NameAdvanced Endometriosis Center
Doing Business AsAdvanced Care & Medspa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Endometriosis Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Endometriosis Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Noor Arekat, ANP-BC
Nurse Practitioner
NPI 1396176327
3033 OGDEN AVE STE 300
Lisle, IL 60532
(331) 702-2455
✔ PECOSSame address
Fadel Azer, M.D.
Obstetrics/Gynecology
NPI 1619178845
3033 OGDEN AVE STE 300
Lisle, IL 60532
(630) 743-9010
✔ PECOS✔ Accepts MedicareSame address
Mariam Kirollos, MD
Family Practice
NPI 1518272384
3033 OGDEN AVE STE 300
Lisle, IL 60532
(331) 702-2455
✔ PECOS✔ Accepts MedicareSame address
Sara Shinault, WHNP
Nurse Practitioner
NPI 1083391957
3033 OGDEN AVE STE 300
Lisle, IL 60532
(331) 702-2455
✔ PECOSSame address

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 14D2291844

Advanced Gynecology Practice LLC · Lisle, IL
Active · expires Oct 16, 2027
CLIA Number14D2291844
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorFadel F. Azer
Laboratory Phone(331) 702-2455
Laboratory LocationAdvanced Gynecology Practice LLC3033 Ogden Ave - Ste 300, Lisle, IL 60532
CLIA data matches this NPI record on: Address 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 Gynecology Practice LLC's NPI number?

The NPI number for Advanced Gynecology Practice LLC is 1598462426. It was assigned to this organization in the NPPES registry on February 10, 2023. The provider is doing business as Advanced Care & Medspa. The provider is also known as Advanced Endometriosis Center.

Where is Advanced Gynecology Practice LLC located?

Advanced Gynecology Practice LLC is located at 3033 Ogden Ave Ste 300, Lisle, IL 60532. The listed phone number is (331) 702-2455.

What is Advanced Gynecology Practice LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Advanced Gynecology Practice LLC enrolled in Medicare?

Yes. Advanced Gynecology Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Gynecology Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Advanced Gynecology Practice LLC, in Family Practice, Nurse Practitioner and Obstetrics/Gynecology. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Gynecology Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2291844) is associated with this NPI, valid through October 16, 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 Gynecology Practice LLC was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.