Organization Active NPI

Advanced Integrated Medical Therapy Inc.

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1366077570
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ADVANCED INTEGRATED MEDICAL THERAPY INC.
Practice address
9727 S Western Ave
Chicago, IL 60643-1723
Phone
(773) 881-3400
NPI assigned
Mar 9, 2020
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Joseph S Thomas, MDNPI 1477504579
Title
Doctor
Phone
(733) 881-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary
Radiology Clinic/Center 261QR0200X NU

Addresses

Primary practice location

9727 S Western Ave
Chicago, IL 60643-1723

Mailing address

9727 S Western Ave
Chicago, IL 60643-1723
Phone (773) 881-3400

Other practice location 1

2315 E 93rd St Ste 236
Chicago, IL 60617-3984
Phone (773) 881-3400

National Provider Directory

National Provider Directory

Locations

9727 S Western Ave
Chicago, IL 60643
Phone (773) 881-3400

Practitioners & affiliated clinicians

Practitioners 1

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1366077570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 E 93rd St Ste 236",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173984",
            "country_code": "US",
            "telephone_number": "773-881-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED INTEGRATED MEDICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "733-881-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.