DIVISION MEDICAL & DIAGNOSTICS INC (NPI# 1013012681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013012681 |
| Entity Type | Organization |
| Organization Name | DIVISION MEDICAL & DIAGNOSTICS INC |
| Practice Address |
4913 W Fullerton Ave Chicago IL 60639-2505 |
| Practice Telephone | 7736372000 |
| Practice Fax Number | 7733672006 |
| Mailing Telephone | 7736372000 |
| Mailing Fax Number | 7733672006 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAGHU NAYAK (PRESIDENT) |
| Authorized Official Telephone | 6309861240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
IL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD OF IL | 1625675 | 01 |
| Street Address |
4913 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1568652428 | Polsono Mobile Ultrasound, P.C. | Radiologic Technologist | 1030 N State St Apt 17h, Chicago, IL 60610-5492 | 2007-07-27 |
| 1689727471 | Northshore Imaging Company | Radiologic Technologist | 7455 N Western Ave, Chicago, IL 60645-1735 | 2007-01-18 |
| 1184783359 | Focus Diagnostic Ultrasound Inc | Radiologic Technologist | 3848 N Plainfield Ave, Chicago, IL 60634-1921 | 2006-12-06 |
| 1821023391 | Lak Imaging Inc | Radiologic Technologist | 1829 N Cleveland Ave, Unit C, Chicago, IL 60614-5273 | 2006-07-12 |
| 1083982052 | Daisy Oms LLC | Radiologic Technologist | 53 W Jackson Blvd, Suite 1337, Chicago, IL 60604-3606 | 2011-12-06 |
| 1578652897 | Maria Teresa Davila | Radiologic Technologist | 1725 W Harrison St, Suite 408, Chicago, IL 60612 | 2006-10-12 |
| 1174626634 | Carol Ann Gil Ramos | Radiologic Technologist | 1725 W Harrison St, #408; Women's Health Consultants, Chicago, IL 60612 | 2006-09-07 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.