ADVANCED LIFE PROVIDERS NPI 1114450707

NPI Information

  • NPI: 1114450707
  • Provider Name: ADVANCED LIFE PROVIDERS
  • Classification: Health Educator - 174H00000X
  • Entity Type: Organization
  • Address: 239 WILLOW RD
    MATTESON, IL
    ZIP 60443
  • Phone: (847) 830-7385

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NPI Details

ADVANCED LIFE PROVIDERS is a health educator in Matteson, IL. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. ADVANCED LIFE PROVIDERS NPI is 1114450707. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

239 WILLOW RD
MATTESON, IL
ZIP 60443-068
Phone: (847) 830-7385

The provider's authorized official is La Tonya Lee Rafe .
The authorized official title is Ceo and has the following contact phone number (847) 830-7385.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth Educator041348482ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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