OrganizationActive
Center for Advanced Medicine LLC
NPI 1255746715 · Internal Medicine Physician · Fairview Heights, IL
Provider details
- NPI number
- 1255746715
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ambrose, Owner/Ceo(618) 420-9360
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5036 N Illinois St
Suite 1
Fairview Heights, IL 62208
Phone: (618) 671-6800
Fax: (619) 671-6604
Street-level locationGet directions
Mailing address
5036 N Illinois St
Fairview Heights, IL 62208-3411
Other names (DBA / former)
- Doing business as
- Performance Medical Clinic LLC
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2018-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.