Medadvance Illinois Pllc

NPI #1598634198 in Effingham, Illinois

Provider Information

NPI Number: 1598634198
Entity Type: Organization
Organization Name: Medadvance Illinois Pllc
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 3, 2025
Last Updated: Nov 3, 2025

Practice Location

Address: 401 N MULBERRY ST
City: Effingham
State: Illinois
ZIP Code: 62401-2009
Phone: (440) 652-8748

Authorized Official

Name: TRACY WIMBERG
Title: VP BILLING OPERATIONS
Phone: (440) 652-8748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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