Organization Active NPI

Advanced Medical Specialists, Inc.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Grayslake, IL
National Provider Identifier
1770933384
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
Legal business name
ADVANCED MEDICAL SPECIALISTS, INC.
Practice address
1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone
(847) 599-9900
Fax
(847) 599-9901
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Jill E HoweNPI 1699888347
Title
Exec Dir
Phone
(847) 599-9900

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X Primary
Clinic/Center 261Q00000X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813

Mailing address

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone (847) 599-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619000272 IL Part B Supplier - Clinic/Group Practice 1850667759 Receives reassigned benefits from 2 practitioners
Practice locations: Grayslake, IL

National Provider Directory

National Provider Directory

Locations

1015 N Corporate Cir
Ste D
Grayslake, IL 60030
Phone (847) 543-4319

110 W Hillcrest Blvd
Ste 102
Schaumburg, IL 60195
Phone (815) 477-8844

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1770933384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXEC DIR",
        "authorized_official_telephone_number": "847-599-9900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.