Healthcare Provider Details

I. General information

NPI: 1790898187
Provider Name (Legal Business Name): ADVANCED MEDICINE INTEGRATION GROUP, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 CENTRAL AVE SUITE 2
HIGHLAND PARK IL
60035-2691
US

IV. Provider business mailing address

473 CENTRAL AVE SUITE 2
HIGHLAND PARK IL
60035-2691
US

V. Phone/Fax

Practice location:
  • Phone: 847-579-2700
  • Fax: 847-433-9947
Mailing address:
  • Phone: 847-579-2700
  • Fax: 847-433-9947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD L SARNAT
Title or Position: PRESIDENT/CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 847-579-2700