Amg Endoscopy Center LTD

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

AMG ENDOSCOPY CENTER LTD

Practice address

1105 W Park Ave Ste 1
Libertyville, IL 60048-2567

Phone

(847) 680-5833

Fax

(847) 680-5881

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By 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

Rashida R

Title

Manager

Phone

(847) 680-5833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902017288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE STE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482567",
            "telephone_number": "847-680-5833",
            "fax_number": "847-680-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE STE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482567",
            "telephone_number": "847-680-5833",
            "fax_number": "847-680-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG ENDOSCOPY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "RASHIDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-680-5833"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endoscopy Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Endoscopy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.