Mdm Advanced Ancillary Services, LLC
Mdm Advanced Ancillary Services, LLC is a healthcare organization registered as Exclusive Provider Organization in Mokena, IL, holding Type 2 (organization) NPI 1336267855 since 2007. The authorized official on file is Jon Knipper, Chief Operating Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336267855 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mdm Advanced Ancillary Services, LLC |
| Other name | <Unavail> |
| Practice address | 19065 HICKORY CREEK PL, SUITE 240, Mokena, IL, 60448 |
| Phone | 7084786417 |
| Fax | 7085358087 |
| Enumeration date | 2007-03-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jon Knipper |
|---|---|
| Title | Chief Operating Officer |
| Phone | 7084786434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | Primary | — | — |
Copy-ready billing details
Provider: Mdm Advanced Ancillary Services, LLC NPI: 1336267855 Taxonomy: 302F00000X (Exclusive Provider Organization) Address: 19065 HICKORY CREEK PL, SUITE 240, Mokena, IL, 60448
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699832329 | Paula Hinds | Individual | Occupational Therapist | Mokena, IL |
| 1891837498 | Kristen Callison | Individual | Speech-Language Pathologist | Mokena, IL |
| 1235272824 | Angela Andrus | Individual | Speech-Language Pathologist | Mokena, IL |
| 1285777664 | Erica Vonbehren | Individual | Speech-Language Pathologist | Mokena, IL |
| 1386761203 | Advantage Diagnostic Imaging Center - Chicago, LLC | Organization | Exclusive Provider Organization | Mokena, IL |
| 1003933920 | Midwest Diagnostic Management, LLC | Organization | Exclusive Provider Organization | Mokena, IL |
| 1245358761 | Diagnostic P.E.T. Network, LLC | Organization | Exclusive Provider Organization | Mokena, IL |
Verify this record
Cross-check NPI 1336267855 against the authoritative CMS record: view Mdm Advanced Ancillary Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mdm Advanced Ancillary Services, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.