Wellformed AI

NPI 1952284523 · live from the CMS NPI Registry

Advanced Care Providers

Internal Medicine in Chicago, IL. National Provider Identifier 1952284523, active.

NPI record

NPI1952284523 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location11422 S Western Ave, Chicago, IL 60643
Practice phone773-941-8276
EnumeratedJuly 30, 2025
Last updatedAugust 11, 2025
Authorized officialDanny Akl, Owner / Medical Director

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor111N00000X—
Case Manager/Care Coordinator171M00000X—
Surgery208600000X—
Pain Medicine, Interventional Pain Medicine208VP0014X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.