Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Family Practice, PLLC

Organization Family Nurse Practitioner · NPI 1639003122

Advanced Family Practice, PLLC is a Family Nurse Practitioner in Morton Grove, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1657 Arcadia St
Morton Grove, IL 60053
Phone: (210) 269-6764
Fax: (210) 269-6764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1639003122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gordon Mesa — Owner · (210) 269-6764
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateMay 28, 2026
Mailing address1657 Arcadia St, Morton Grove, IL 60053

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