Healthcare Provider Details

I. General information

NPI: 1689434987
Provider Name (Legal Business Name): ADVANCED MEDICAL PROFESSIONALS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 03/16/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 LAKE AVE
WILMETTE IL
60091-1082
US

IV. Provider business mailing address

3207 LAKE AVE
WILMETTE IL
60091-1082
US

V. Phone/Fax

Practice location:
  • Phone: 847-873-8000
  • Fax:
Mailing address:
  • Phone: 847-873-8000
  • Fax: 888-414-1425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEKSANDAR RADOVIC
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 312-504-6404