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

Organization subpart

No

Name

Rashida R

Title

Manager

Phone

(847) 680-5833

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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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• All providers in Libertyville, IL
• 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.