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14D1086333 CLIA NUMBER - ADVANCED CENTER FOR INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 14D1086333

Facility Name: ADVANCED CENTER FOR INTERNAL MEDICINE

Facility Address:
2172 BLACKBERRY DR STE 101
GENEVA, IL
ZIP 60134
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Facility Phone Number: 630 262-0888

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386804763

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D1086333
LAB Type Physician Office
Facility Name ADVANCED CENTER FOR INTERNAL MEDICINE
Street 2172 BLACKBERRY DR STE 101
City GENEVA
State IL
ZIP 60134
Phone 630 262-0888
CertificateType 4
CertificateEffectiveDate 7/10/2022
CertificateExpirationDate 7/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024