Provider Demographics
NPI:1790898187
Name:ADVANCED MEDICINE INTEGRATION GROUP, L.P.
Entity Type:Organization
Organization Name:ADVANCED MEDICINE INTEGRATION GROUP, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SARNAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-579-2700
Mailing Address - Street 1:473 CENTRAL AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2691
Mailing Address - Country:US
Mailing Address - Phone:847-579-2700
Mailing Address - Fax:847-433-9947
Practice Address - Street 1:473 CENTRAL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2691
Practice Address - Country:US
Practice Address - Phone:847-579-2700
Practice Address - Fax:847-433-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization