Provider Demographics
NPI:1689030918
Name:ADVANCED CARE MEDICAL SPECIALISTS, P.C.
Entity type:Organization
Organization Name:ADVANCED CARE MEDICAL SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-301-7264
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-0697
Mailing Address - Country:US
Mailing Address - Phone:219-301-7264
Mailing Address - Fax:219-595-0889
Practice Address - Street 1:10110 DONALD S POWERS DR
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321
Practice Address - Country:US
Practice Address - Phone:219-934-5300
Practice Address - Fax:219-934-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty