ADVANCED GYNECOLOGY PRACTICE LLC – NPI #1598462426
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ADVANCED GYNECOLOGY PRACTICE LLC is a provider located in LISLE, IL. NPPES has assigned the NPI number 1598462426 to ADVANCED GYNECOLOGY PRACTICE LLC on February 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ADVANCED GYNECOLOGY PRACTICE LLC is also known by the name ADVANCED ENDOMETRIOSIS CENTER. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 2 years ago on May 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED GYNECOLOGY PRACTICE LLC below.

NPI Profile for
ADVANCED GYNECOLOGY PRACTICE LLC

NPI Number
1598462426
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED GYNECOLOGY PRACTICE LLC
Other Name: ADVANCED ENDOMETRIOSIS CENTER
Other name(s)
All associated names:
Doing Business As (dba)
Advanced Care & Medspa
Other Name
Advanced Endometriosis center
Primary location
3033 OGDEN AVE STE 300
LISLE, IL 60532-1976
Phone: (331) 702-2455 Fax: (331) 229-8191
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FADEL AZER
MEMBER/OWNER
Phone: (331) 702-2455
Updated
Certification Date
May 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.