NPIMap

Organization Active NPI

Advanced Medical Consultations LTD

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1407220015
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036128738 Issued in IL
Legal business name
ADVANCED MEDICAL CONSULTATIONS LTD
Practice address
561 N Howard Ave
Elmhurst, IL 60126-2024
Phone
(773) 564-0524
NPI assigned
Nov 19, 2015
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Mr. Chool Liyanapatabendi, MDNPI 1689976649
Title
Owner
Phone
(773) 564-0524

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 036128738 IL Primary

Addresses

Primary practice location

561 N Howard Ave
Elmhurst, IL 60126-2024

Mailing address

561 N Howard Ave
Elmhurst, IL 60126-2024
Phone (773) 564-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160125000971 IL Part B Supplier - Clinic/Group Practice 8820391949 Receives reassigned benefits from 12 practitioners
Practice locations: Wheeling, IL; Arlington Heights, IL; Park Ridge, IL; Northlake, IL; Northbrook, IL; Morton Grove, IL; Addison, IL; Melrose Park, IL…
O20210503000113 FL Part B Supplier - Clinic/Group Practice 8820391949 Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

7750 Okeechobee Blvd
West Palm Beach, FL 33411
Phone (630) 366-6681

715 W Lake St
Ste 104
Addison, IL 60101
Phone (630) 366-6681

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1407220015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N HOWARD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262024",
            "telephone_number": "773-564-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N HOWARD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262024",
            "telephone_number": "773-564-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CONSULTATIONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "LIYANAPATABENDI",
        "authorized_official_first_name": "CHOOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-564-0524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.