Center for Advanced Medicine LLC
NPI #1255746715 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1255746715
- Entity Type
- Organization
- Organization Name
- Center for Advanced Medicine LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Jul 18, 2018
Practice Location
- Address
- 5036 N ILLINOIS ST
- Address 2
- SUITE 1
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208
- Phone
- (618) 671-6800
Authorized Official
- Name
- MICHAEL THOMAS AMBROSE
- Title
- OWNER/CEO
- Phone
- (618) 420-9360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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