Provider Demographics
NPI:1063710374
Name:ADVANCED PRACTICE CARE CONSULTANTS LTD
Entity type:Organization
Organization Name:ADVANCED PRACTICE CARE CONSULTANTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:APN NP
Authorized Official - Phone:847-420-5100
Mailing Address - Street 1:1000 GREENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-2053
Mailing Address - Country:US
Mailing Address - Phone:847-420-5100
Mailing Address - Fax:
Practice Address - Street 1:1000 GREENDALE AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-2053
Practice Address - Country:US
Practice Address - Phone:847-420-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5693Medicare PIN