Advance Midwest Medical SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036111523 Issued in IL

Legal business name

ADVANCE MIDWEST MEDICAL SC

Practice address

319 S Barrington Rd
Schaumburg, IL 60193-5345

Phone

(312) 953-0949

Fax

(847) 241-4467

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajiv Sood, M.D.

Title

Owner / Physician

Phone

(312) 953-0949

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advance Midwest Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advance Midwest Medical SC

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1518281682
  NPD tax ID

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1659512804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S BARRINGTON RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935345",
            "telephone_number": "312-953-0949",
            "fax_number": "847-241-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S BARRINGTON RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935345",
            "telephone_number": "312-953-0949",
            "fax_number": "847-241-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MIDWEST MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "312-953-0949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.