Advanced Medical Care LTD
Organization Active NPI Family Medicine Physician · Lake Zurich, IL
NPI 1023237807 · NPPES record last updated Feb 15, 2012
Key facts
- NPI
- 1023237807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036073025 (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
- Organization subpart
- No
Authorized official
- Name
- Raymond Bianchi
- Title
- M.D.
- Phone
- (847) 438-4028
Practitioners 3
-
Steven A Campau, MD
-
Raymond Samuel Bianchi, M.D.
-
Jenna M Raju, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0880397 | Advanced Medical Care LTD | Provider-performed microscopy | Dec 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
290 N Rand Rd
Ste A
Lake Zurich, IL 60047
Phone (847) 438-2454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 036073025 | IL | Yes |
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
Other providers in Lake Zurich, IL
- 1918 Winter Street Operating Co LLC
- 911 Wellness Group, LLC.
- Sara Abbasi
- Absolute Wellness & Rehab, Inc.
- Mary Anna Adamowski
- Advanced Vein Treatment and Imaging Center LLC
- Advocate Health and Hospitals Corporation
- Ahmad Family Primary Care, S.C.
- Shad S Ahmad
- Sala Al-Nijam
All providers in Lake Zurich, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.