MEDICARE: ADVANCED INTERNAL MEDICINE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	036.121329	MI

General Provider Information

NPI Number	:	1194026203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED INTERNAL MEDICINE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	666 DUNDEE RD STE 802
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2734
Country	:	US
Telephone Number	:	847-748-4170
Fax Number	:	847-498-2362

Provider Business Practice Location Address
First Line	:	666 DUNDEE RD STE 802
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2734
Country	:	US
Telephone Number	:	847-498-1515
Fax Number	:	847-498-2362

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ALICE HUTCHINSON
Credential	:
Telephone Number	:	847-748-4170

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	02/09/2026

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