Provider profile · NPI 1548492234
63rd Advanced Health Clinic Inc
Family Medicine, Adolescent Medicine · Chicago, IL · NPI 1548492234 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Family Medicine, Adolescent Medicine
Enumerated
Aug 14, 2009
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1249 W 63RD ST | Chicago, IL 60636-1947 | 847-904-7500 |
| LOCATION | 1249 W 63RD ST | Chicago, IL 60636-1947 | 847-904-7500 |
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