# ADVANCED ENDOCRIONOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346324985
- **Authorized official:** DR. TINA C BANSAL M.D (PRESIDENT)
- **Authorized official phone:** (847) 686-6866

## Contact information

- **Practice address:** 850 BIESTERFIELD RD STE 4005, ELK GROVE VILLAGE, IL 60007-7309
- **Practice address phone:** (847) 686-6866
- **Mailing address:** PO BOX 68252, SCHAUMBURG, IL 60168-0252
- **Mailing address phone:** (847) 686-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | IL | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020