Overview
Name: INNOVATIVE ADVANCED PRACTICE LLC
Specialty: General Practice Physician
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Allopathic & Osteopathic Physicians
Classification: General Practice
Specialization: .
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: INNOVATIVE ADVANCED PRACTICE LLC,4050 HEALTHWAY DR STE 140,AURORA,IL,605048184,US
Mailing Address: INNOVATIVE ADVANCED PRACTICE LLC,4050 HEALTHWAY DR STE 140,AURORA,IL,605048184,US
Contact #
Practice location phone #: 6305495429
Practice location fax #:
Mailing address Phone #: 6305495429
Mailing Address fax #:
Authorized official Name/Telephone #:EDNESHA, RAMEY, NP, CO-OWNER/NURSE PRACTITIONER 6305495429
Misc
Date NPI was obtained: 08/24/2021
Last data data was updated: 12/03/2021
Insurances: