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General NPI Number Information
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NPI Number | 1194026203
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Entity Type | Organization
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Legal Business Name | ADVANCED INTERNAL MEDICINE ASSOCIATES INC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 666 DUNDEE RD STE 802
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City | NORTHBROOK
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State | IL
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Zip | 60062-2734
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Country | US
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Telephone | 847-498-1515
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Fax | 847-498-2362
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Provider Business Mailing Address
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Address Line | 666 DUNDEE RD STE 802
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City | NORTHBROOK
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State | IL
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Zip | 60062-2734
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Country | US
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Telephone | 847-748-4170
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Fax | 847-498-2362
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALICE HUTCHINSON
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Credential |
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Telephone | 847-748-4170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 036.121329
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License Number State | MI
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