MEDI RAY PORTABLE INC (NPI# 1043339484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339484 |
| Entity Type | Organization |
| Organization Name | MEDI RAY PORTABLE INC |
| Practice Address |
7405 N Osceola Ave Chicago IL 60631-4434 |
| Practice Telephone | 8476859326 |
| Mailing Telephone | 8476859326 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL BYRON (VICE PRESIDENT) |
| Authorized Official Telephone | 8476859326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
7405 N OSCEOLA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419778 | Mediquest Diagnostic Center S.c | Radiologic Technologist | 3420 W Peterson Ave, Chicago, IL 60659-3418 | 2006-05-31 |
| 1598003683 | Chang Ping Wu | Radiologic Technologist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2013-01-23 |
| 1578745576 | Masood Siddiqui | Radiologic Technologist | 7455 N Western Ave, Chicago, IL 60645-1735 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841586351 | Alexios S Dravilas | Radiologic Technologist | 146 Greenway Dr, Bloomingdale, IL 60108-2060 | 2011-06-22 |
| 1497943567 | Daniel Morton | Radiologic Technologist | 20421 N Miller Lake Ln, Texico, IL 62889-2812 | 2007-10-13 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1417096553 | Vipin A Shah | Radiologic Technologist | 821 E. Schaumburg Rd., Schaumburg, IL 60194 | 2007-02-05 |
| 1558434001 | Glenn B. Padilla | Radiologic Technologist | 11600 Legacy Dr, Plainfield, IL 60585-5194 | 2006-11-15 |
| 1912167974 | Tammy Dawn Sartor | Radiologic Technologist | 2401 W Main St, Marion, IL 62959-1188 | 2008-06-12 |
| 1700832862 | Kenneth J. Mckenna | Radiologic Technologist | 765 Ela Rd, Suite 305, Lake Zurich, IL 60047-2337 | 2006-05-26 |
| 1083669188 | Mary K. Rinder | Radiologic Technologist | 765 Ela Rd, Suite 305, Lake Zurich, IL 60047-2337 | 2006-05-24 |
| 1457304313 | Barbara Edgington | Radiologic Technologist | 765 Ela Rd, Suite 305, Lake Zurich, IL 60047-2337 | 2006-05-19 |
| 1821041575 | Lara M. Paaske | Radiologic Technologist | 765 Ela Rd, Suite 305, Lake Zurich, IL 60047-2337 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDI RAY PORTABLE INC.
| 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.