OrganizationActive
Advanced Healthcare Providers, Sc
NPI 1770839698 · General Practice Physician · Belvidere, IL
Provider details
- NPI number
- 1770839698
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Dyer, President(815) 544-3894
- License
- 36078826 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
860 Biester Dr
Suite 103
Belvidere, IL 61008-4053
Phone: (815) 544-3894
Approximate (ZIP-level) locationGet directions
Mailing address
860 Biester Dr
Belvidere, IL 61008-4053
Registry dates
- Enumerated
- 2012-07-29
- Last updated
- 2012-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.