Advanced Gynecology, S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

042-619903 Issued in IL

Legal business name

ADVANCED GYNECOLOGY, S.C.

Doing business as

Advanced Gynecology

Practice address

250 W Kensington Rd Ste 1B
Mt Prospect, IL 60056-1292

Phone

(847) 568-1488

Fax

(847) 749-2695

NPI assigned

Jan 17, 2012

Last updated

Aug 24, 2018By 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

Dr. Sogol Jahedi Jimenez, MDNPI 1922265701

Title

Owner and Physician

Phone

(847) 568-1488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Gynecology Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Sogol Jahedi Jimenez, MD

  • Obstetrics & Gynecology Physician
  • Mount Prospect, IL
  • NPI 1922265701
  Medicare reassignment Authorized official
• Alice Chen, M.D.

  • Legal Medicine
  • Skokie, IL
  • NPI 1497752893
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1679844039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD STE 1B",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561292",
            "telephone_number": "847-568-1488",
            "fax_number": "847-749-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD STE 1B",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561292",
            "telephone_number": "847-568-1488",
            "fax_number": "847-749-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GYNECOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "SOGOL",
        "authorized_official_middle_name": "JAHEDI",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "847-568-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042-619903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE OF MEDICAL CORPORATION",
            "identifier": "042-619903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acure Health
• Raymond Joseph Adamczyk, DDS
• Alexandra Adams, PT, DPT
• Lisa Adreani, LMT
• Adla Martina Adubofour, NP
• Advanced Physical Medicine & Therapy, LTD.
• Advanced Physical Medicine & Therapy, LTD.
• Suha Affaneh, RPH
• Amina Ahmed
• Shakeel Ahmed, PHARMD

• Obstetrics & Gynecology Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.