Organization Active NPI

Advanced Medical Care LTD

  • Family Medicine Physician
  • Lake Zurich, IL
National Provider Identifier
1023237807
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036073025 Issued in IL
Legal business name
ADVANCED MEDICAL CARE LTD
Practice address
290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Phone
(847) 438-4028
Fax
(847) 438-2462
NPI assigned
Apr 24, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raymond BianchiNPI 1114916558
Title
M.D.
Phone
(847) 438-4028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036073025 IL Primary

Addresses

Primary practice location

290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213

Mailing address

290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041118001132 IL Part B Supplier - Clinic/Group Practice 0042274953 Receives reassigned benefits from 3 practitioners
Practice locations: Barrington, IL; Lake Zurich, IL
O20120203000226 IL DME Supplier - Physician - Unknown Physician Specialty 0042274953 Practice locations: Lake Zurich, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0880397Advanced Medical Care LTD290 North Rand Road Suite a, Lake Zurich, IL 60047Provider-performed microscopyDec 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1023237807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "847-438-4028",
            "fax_number": "847-438-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "847-438-4028"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036073025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.