| NPI | 1356913081 |
|---|---|
| Other Name | ADVANCE CARE MEDICAL ROMEOVILLE IL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MILLAR Senior Advisor 917-673-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2022-06-28 |