Organization Active NPI

Advanced Internal Medicine Associates Inc

  • Clinic/Center
  • Northbrook, IL
National Provider Identifier
1194026203
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036.121329 Issued in MI
Legal business name
ADVANCED INTERNAL MEDICINE ASSOCIATES INC
Practice address
666 Dundee Rd Ste 802
Northbrook, IL 60062-2734
Phone
(847) 498-1515
Fax
(847) 498-2362
NPI assigned
Nov 4, 2010
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mohsina T. LaliwalaNPI 1386953602
Title
President
Phone
(847) 990-0400

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
Clinic/Center 261Q00000X 036.121329 MI Primary

Addresses

Primary practice location

666 Dundee Rd Ste 802
Northbrook, IL 60062-2734

Mailing address

666 Dundee Rd Ste 802
Suite 802
Northbrook, IL 60062-2734
Phone (847) 748-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000175 IL Part B Supplier - Clinic/Group Practice 6608058649 Receives reassigned benefits from 10 practitioners
Practice locations: Northbrook, 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
14D0413589Advanced Internal Medicine Associates666 Dundee Rd # 802, Northbrook, IL 60062Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

1500 Shermer Rd
Ste 325E
Northbrook, IL 60062
Phone (847) 498-1515

Practitioners & affiliated clinicians

Practitioners 12

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1194026203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 802",
            "address_2": "SUITE 802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622734",
            "telephone_number": "847-748-4170",
            "fax_number": "847-498-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622734",
            "telephone_number": "847-498-1515",
            "fax_number": "847-498-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "LALIWALA",
        "authorized_official_first_name": "MOHSINA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-990-0400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "036.121329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.