1336267855 MDM ADVANCED ANCILLARY SERVICES, LLC

Exclusive Provider Organization

Active

Basic Information

Organization Name
MDM ADVANCED ANCILLARY SERVICES, LLC
Enumeration Date
March 26, 2007
Last Update
August 22, 2020
Authorized Official
MR. JON KNIPPER
CHIEF OPERATING OFFICER
Phone: (708) 478-6434

Practice Location

Address
19065 HICKORY CREEK PL
SUITE 240
MOKENA, IL 604488507
Phone
(708) 478-6417
Fax
(708) 535-8087

Mailing Address

Address
DEPT 10116
PO BOX 87618
CHICAGO, IL 606800618
Phone
(708) 478-6417
Fax
(708) 535-8087

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Frequently Asked Questions

What is MDM ADVANCED ANCILLARY SERVICES, LLC's NPI number?
MDM ADVANCED ANCILLARY SERVICES, LLC's NPI number is 1336267855.
Which doctor has NPI number 1336267855?
The doctor with NPI number 1336267855 is MDM ADVANCED ANCILLARY SERVICES, LLC.
What is MDM ADVANCED ANCILLARY SERVICES, LLC's practice address?
MDM ADVANCED ANCILLARY SERVICES, LLC's practice address is 19065 HICKORY CREEK PL, SUITE 240, MOKENA, IL, 604488507.
Which doctor practices at 19065 HICKORY CREEK PL, SUITE 240, MOKENA, IL, 604488507?
MDM ADVANCED ANCILLARY SERVICES, LLC practices at 19065 HICKORY CREEK PL, SUITE 240, MOKENA, IL, 604488507.
What is MDM ADVANCED ANCILLARY SERVICES, LLC's mailing address?
MDM ADVANCED ANCILLARY SERVICES, LLC's mailing address is DEPT 10116, PO BOX 87618, CHICAGO, IL, 606800618.
What is MDM ADVANCED ANCILLARY SERVICES, LLC's phone number?
MDM ADVANCED ANCILLARY SERVICES, LLC's phone number is (708) 478-6417.
Who is (708) 478-6417?
(708) 478-6417 is the phone number for MDM ADVANCED ANCILLARY SERVICES, LLC.
What is MDM ADVANCED ANCILLARY SERVICES, LLC's specialty?
MDM ADVANCED ANCILLARY SERVICES, LLC's specialty is Exclusive Provider Organization.
What type of doctor is MDM ADVANCED ANCILLARY SERVICES, LLC?
MDM ADVANCED ANCILLARY SERVICES, LLC is a Exclusive Provider Organization.
Is MDM ADVANCED ANCILLARY SERVICES, LLC a Exclusive Provider Organization?
Yes, MDM ADVANCED ANCILLARY SERVICES, LLC is a Exclusive Provider Organization.
Is MDM ADVANCED ANCILLARY SERVICES, LLC still practicing?
Yes, MDM ADVANCED ANCILLARY SERVICES, LLC is currently practicing.
Is MDM ADVANCED ANCILLARY SERVICES, LLC accepting new patients?
MDM ADVANCED ANCILLARY SERVICES, LLC may be accepting new patients. Please call their office at (708) 478-6417 to inquire about availability.
Is NPI 1336267855 still active?
Yes, NPI 1336267855 is currently active.
Where does MDM ADVANCED ANCILLARY SERVICES, LLC practice?
MDM ADVANCED ANCILLARY SERVICES, LLC practices in MOKENA, IL.