Advanced Arlington Sports Medicine Center
Organization Active NPI Internal Medicine Physician · Buffalo Grove, IL
NPI 1437372182 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1437372182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036106724 (IL)
- Legal business name
- ADVANCED ARLINGTON SPORTS MEDICINE CENTER
- Practice address
- 329 W Dundee Rd
Buffalo Grove, IL 60089-3545 - Phone
- (847) 243-0355
- Fax
- (847) 243-0356
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Eguert Nagaj, MD
- Title
- Medical Doctor
- Phone
- (847) 243-0355
National Provider Directory
Locations
329 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 243-0355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036106724 | IL | Yes |
Addresses
Primary practice location
329 W Dundee Rd
Buffalo Grove, IL 60089-3545
Mailing address
329 W Dundee Rd
Buffalo Grove, IL 60089-3545
Phone (847) 243-0355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633727 | Other | IL | BCBS |
| 036106724 | Medicaid | IL |
Other providers in Buffalo Grove, IL
- Anna Adams
- Ahmed Adhami
- Susan Adler
- Adrienne Tarnoff Hearing Instrument Specialist LLC
- Advanced Arlington Medical Center LTD.
- Advanced Medical and Rehabilitation LTD
- Advanced Medical Group, LTD.
- Advanced Radiology Professionals, LLC
- Advantage Healthcare Specialists, LLC
- Affiliated Clinicians, S.C.
All providers in Buffalo Grove, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.