{"npi":"1972741759","type":"NPI-2","status":"active","name":{"display":"Amg Illinois Ltd","other":[],"organization_name":"AMG ILLINOIS LTD","authorised_official":"Jeffrey Bahr"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207RC0001X","description":"Clinical Cardiac Electrophysiology Physician","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":false,"state":null,"license":null},{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":null,"license":null},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"207N00000X","description":"Dermatology","primary":false,"state":null,"license":null},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":null,"license":null},{"code":"207RR0500X","description":"Rheumatology Physician","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"45 TOWER CT","city":"GURNEE","state":"IL","postal_code":"600313376","country_code":"US","street_2":"SUITE C","phone":"8476233200"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"4146476326"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100005112","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090512000348","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"8527117027"},{"enrlmt_id":"O20100129000033","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"8527117027"}]},"enumeration_date":"2009-02-02","last_updated":"2025-10-03","_meta":{"source":"NPPES","snapshot_date":"2025-10-03","doc_url":"https://findmynpi.com/api"}}