Advanced Medical and Rehabilitation LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036104844 Issued in IL

Legal business name

ADVANCED MEDICAL AND REHABILITATION LTD

Practice address

150 W Half Day Rd
Buffalo Grove, IL 60089-6591

Phone

(847) 897-5995

Fax

(847) 897-5990

NPI assigned

Nov 15, 2006

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara Gurevich, M.D.NPI 1336227503

Title

Medical Director

Phone

(847) 897-5995

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 9

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.

• Tamara Gurevich, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo Grove, IL
  • NPI 1336227503
  Medicare reassignment NPD Authorized official
• Bonnie Lee, N.P

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
  • NPI 1922290154
  Medicare reassignment NPD
• Zivile Calderon, FNP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1083005268
  NPD
• Nancy Esterkin, APRN

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1568284503
  NPD
• Irina Martynova

  • In Home Supportive Care Agency
  • Wheeling, IL
  • NPI 1457939159
  NPD
• Irina K Harag, M.D.

  • Family Medicine Physician
  • Buffalo Grove, IL
  • NPI 1851393334
  NPD (past)
• Cynthia Jaffe, DC-NP-C

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1699854778
  NPD (past)
• Agata Oczko-Danguilan, M.D.

  • Internal Medicine Physician
  • Grayslake, IL
  • NPI 1285701714
  NPD (past)
• Erin Vist, APN

  • Nurse Practitioner
  • Gurnee, IL
  • NPI 1033743711
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1063585511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W HALF DAY RD",
            "address_2": "SUITE 101",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896591",
            "telephone_number": "847-821-1070",
            "fax_number": "847-821-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896591",
            "telephone_number": "847-897-5995",
            "fax_number": "847-897-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL AND REHABILITATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GUREVICH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-897-5995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036104844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "DE1545",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "P00080504",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104844",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "DD7475",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Affiliated Clinicians, S.C.
• Affiliated Mental Health Professionals

• Physical Medicine & Rehabilitation Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.