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

Advanced Orthopedic Clinic LLC

Organization Orthopaedic Surgery Physician · NPI 1396765848

Advanced Orthopedic Clinic LLC is an Orthopaedic Surgery Physician in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Country Club Executive Park Ste 100
Glen Carbon, IL 62034-1583
Phone: (618) 288-8885
Fax: (618) 288-8886
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036060200 (IL)

Record details

NPI number1396765848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurice Miller — Ceo/Owner · (618) 288-8885
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 13, 2008
Mailing address3 Country Club Executive Park, Suite 100, Glen Carbon, IL 62034-1583

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