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General NPI Number Information
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NPI Number | 1770933384
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL SPECIALISTS, INC.
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1015 N CORPORATE CIR STE D
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City | GRAYSLAKE
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State | IL
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Zip | 60030-7813
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Country | US
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Telephone | 847-599-9900
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Fax | 847-599-9901
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Provider Business Mailing Address
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Address Line | 1015 N CORPORATE CIR STE D
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City | GRAYSLAKE
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State | IL
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Zip | 60030-7813
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Country | US
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Telephone | 847-599-9900
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Fax | 847-599-9901
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Authorized Official
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Title or Position | EXEC DIR
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Name | DR. JILL E HOWE
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Credential |
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Telephone | 847-599-9900
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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