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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ADVANCED FAMILY PRACTICE, PLLC
NPI 1639003122
Nurse Practitioner - Family in Morton Grove, IL

Active since June 10, 2026
1657 ARCADIA ST, MORTON GROVE, IL 60053(210) 269-6764(210) 269-6764 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Family Practice, Pllc NPPES

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

ADVANCED FAMILY PRACTICE, PLLC (NPI 1639003122) is a healthcare organization registered as a family in Morton Grove, Illinois and active in the NPI registry since June 2026. The organization lists Gordon Mesa, Owner, as its authorized official.

NPPES Registry Identity

NPI1639003122
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED FAMILY PRACTICE, PLLC
Location Address1657 ARCADIA STMorton Grove, IL 60053
Mailing Address1657 Arcadia StMorton Grove, IL 60053 · (210) 269-6764 · Fax (210) 269-6764
Phone(210) 269-6764
Fax(210) 269-6764
Organization SubpartNo
Authorized OfficialGordon MesaOwner · (210) 269-6764
Enumeration DateJune 10, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1639003122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1657 ARCADIA ST, Morton Grove, IL 60053
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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

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 Practice, PLLC's NPI number?

The NPI number for Advanced Family Practice, PLLC is 1639003122. It was assigned to this organization in the NPPES registry on June 10, 2026.

Where is Advanced Family Practice, PLLC located?

Advanced Family Practice, PLLC is located at 1657 Arcadia St, Morton Grove, IL 60053. The listed phone number is (210) 269-6764.

What is Advanced Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advanced Family Practice, PLLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.