Innovative Advanced Practice Llc

LBN: Innovative Advanced Practice Llc
Innovative Advanced Practice Llc is an health care organization with primary practice located at 4050 Healthway Dr Ste 140 , Aurora IL 60504-8184. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Health Service. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Innovative Advanced Practice Llc can be contacted via phone (630) 549-5429, or through Ramey, Ednesha via phone (630) 549-5429.

Contact Information

Primary practice address
4050 Healthway Dr Ste 140 Aurora IL 60504-8184
Phone: (630) 549-5429
Fax: (773) 912-6727
Website:
Map and Directions
Authorized official contact:
Name: Ramey, Ednesha Nurse Practitioner (NP)
Phone: (630) 549-5429

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1881361335
LBN Legal business name Innovative Advanced Practice Llc
DBA Doing business as
Authorized official Ramey, Ednesha Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2021
Last updated May 22nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881361335 NPPES
Illinois MEDICAID 1609354133

Popular Providers