Provider Demographics
NPI:1689434987
Name:ADVANCED MEDICAL PROFESSIONALS PC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL PROFESSIONALS PC
Other - Org Name:LAKEPOINTE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RADOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-504-6404
Mailing Address - Street 1:3207 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1082
Mailing Address - Country:US
Mailing Address - Phone:847-873-8000
Mailing Address - Fax:888-414-1425
Practice Address - Street 1:3207 LAKE AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1082
Practice Address - Country:US
Practice Address - Phone:847-873-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care