OrganizationActive
Advanced Medical Group
NPI 1659183382 · Durable Medical Equipment & Medical Supplies · Chicago, IL
Provider details
- NPI number
- 1659183382
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Grant Lustig, Owner(561) 654-7814
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1624 W Division St Apt 208
Chicago, IL 60622-3908
Phone: (561) 654-7814
Street-level locationGet directions
Mailing address
516 N Ogden Ave # 195
Chicago, IL 60642-6421
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.