Provider Demographics
NPI:1407220015
Name:ADVANCED MEDICAL CONSULTATIONS LTD
Entity Type:Organization
Organization Name:ADVANCED MEDICAL CONSULTATIONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHOOL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIYANAPATABENDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-564-0524
Mailing Address - Street 1:561 N HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2024
Mailing Address - Country:US
Mailing Address - Phone:773-564-0524
Mailing Address - Fax:
Practice Address - Street 1:561 N HOWARD AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2024
Practice Address - Country:US
Practice Address - Phone:773-564-0524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036128738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty