Advanced Endocrionology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ADVANCED ENDOCRIONOLOGY LLC

Practice address

850 Biesterfield Rd Ste 4005
Elk Grove Village, IL 60007-7309

Phone

(847) 686-6866

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tina C Bansal, M.DNPI 1508955956

Title

President

Phone

(847) 686-6866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4053/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina C Bansal, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Schaumburg, IL
  • NPI 1508955956

  IL, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Madhur Dass, APRN

  • Family Nurse Practitioner
  • Northbrook, IL
  • NPI 1487356333

  IL

  Medicare reassignment Care Compare group NPD
• Abigail L Greider, FNP-C

  • Family Nurse Practitioner
  • Springfield, IL
  • NPI 1336906247

  IL

  Medicare reassignment Care Compare group NPD
• Nadine Rinella, APN

  • Family Nurse Practitioner
  • Maywood, IL
  • NPI 1396983409

  IL

  Medicare reassignment Care Compare group NPD
• Emily Marie Borsellino, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Winfield, IL
  • NPI 1144041112

  IL

  Medicare reassignment Care Compare group
• Jolly P Macwan, NP

  • Nurse Practitioner
  • Kenosha, WI
  • NPI 1306551486
  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346324985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68252",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601680252",
            "telephone_number": "847-686-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BIESTERFIELD RD STE 4005",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077309",
            "telephone_number": "847-686-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOCRIONOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-686-6866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vishal Jagdish Advani, D.D.S.

• All providers in Elk Grove Village, IL
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.