OrganizationActive
Advanced Family Clinic Ltd
NPI 1093977175 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1093977175
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Halyna Boryslavska, President(773) 276-6831
- License
- 036119204 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2246 W Chicago Ave
Chicago, IL 60622-4827
Phone: (773) 276-6831
Fax: (773) 276-9394
Approximate (ZIP-level) locationGet directions
Mailing address
2246 W Chicago Ave
Chicago, IL 60622-4827
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.