Organization Active NPI

A & M Internal Medicine, LTD.

  • Internal Medicine Physician
  • Carol Stream, IL
National Provider Identifier
1356558373
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
A & M INTERNAL MEDICINE, LTD.
Practice address
27W170 Saint Charles Rd
Carol Stream, IL 60188-1935
Phone
(630) 562-9100
Fax
(630) 388-0547
NPI assigned
May 17, 2007
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Marc L Wiener, M.D.NPI 1861435927
Title
President
Phone
(630) 562-9100

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

27W170 Saint Charles Rd
Carol Stream, IL 60188-1935

Mailing address

27W170 Saint Charles Rd
Carol Stream, IL 60188-1935
Phone (630) 562-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000157 IL Part B Supplier - Clinic/Group Practice 4183713894 Receives reassigned benefits from 1 practitioner
Practice locations: Carol Stream, IL

National Provider Directory

National Provider Directory

Locations

27W170 Saint Charles Rd
Carol Stream, IL 60188
Phone (630) 231-9400

122 S County Farm Rd
#A
Wheaton, IL 60187
Phone (630) 681-8600

Practitioners & affiliated clinicians

Practitioners 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1356558373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-562-9100",
            "fax_number": "630-388-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W170 SAINT CHARLES RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881935",
            "telephone_number": "630-562-9100",
            "fax_number": "630-388-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & M INTERNAL MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-562-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.