| NPI | 1336267855 |
|---|---|
| Doing Business As | ADVANCED ANCILLARY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JON KNIPPER Chief Operating Officer 708-478-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |