Organization Active NPI

Advanced Arlington Medical Center LTD.

  • Internal Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1790803138
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036106724 Issued in IL
Legal business name
ADVANCED ARLINGTON MEDICAL CENTER LTD.
Practice address
333 West Dundee Road
Suite 102
Buffalo Grove, IL 60089-3545
Phone
(847) 243-0355
Fax
(847) 243-0355
NPI assigned
Mar 26, 2007
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Eguert Nagaj, MDNPI 1376550442
Title
Medical Doctor
Phone
(847) 243-0355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036106724 IL Primary

Addresses

Primary practice location

333 West Dundee Road
Suite 102
Buffalo Grove, IL 60089-3545

Mailing address

333 West Dundee Road
Suite 102
Buffalo Grove, IL 60089-3545
Phone (847) 243-0355

Other identifiers 1

IdentifierTypeStateIssuer
036106724MedicaidIL

National Provider Directory

National Provider Directory

Locations

333 W Dundee Rd
Ste 102
Buffalo Grove, IL 60089
Phone (847) 243-0355

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1790803138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST DUNDEE ROAD",
            "address_2": "SUITE 102",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST DUNDEE ROAD",
            "address_2": "SUITE 102",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ARLINGTON MEDICAL CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "NAGAJ",
        "authorized_official_first_name": "EGUERT",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "847-243-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106724",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.