ADVANCED GYNECOLOGY PRACTICE LLC is a gynecology obstetrics gynecology in Lisle, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Source: National Uniform Claim Committee ADVANCED GYNECOLOGY PRACTICE LLC NPI is 1598462426. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Endometriosis Center.
The provider's business location address is:
3033 OGDEN AVE STE 300
LISLE, IL
ZIP 60532-976
Phone: (331) 702-2455
Fax: (331) 229-8191
The provider's authorized official is Fadel Fons Talasoun Azer .
The authorized official title is Member/owner and has the following contact phone number (331) 702-2455.
The CLIA number assigned to this NPI record is 14D2291844 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/10/2023 and was last updated on 5/10/2023.