CONVENTIONS RX, LTD (NPI# 1134770258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134770258 |
Entity Type | Organization |
Organization Name | CONVENTIONS RX, LTD |
Practice Address |
1560 Wall St Ste 304 Naperville IL 60563-1262 |
Practice Telephone | 6304168289 |
Practice Fax Number | 6304168307 |
Mailing Telephone | 6304168289 |
Mailing Fax Number | 6304168307 |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |
Authorized Official Name | KRISTA LANE (PRACTICE MANAGER) |
Authorized Official Telephone | 6304168289 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians |
Street Address |
1560 WALL ST STE 304 |
City | NAPERVILLE |
State | IL |
Zip Code | 60563-1262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124084967 | Sandeep Narayan Gaonkar | Psychiatry & Neurology | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2006-04-21 |
1811518178 | Michelle Dela Pena | Nurse Practitioner | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2020-04-28 |
1396382933 | Yunah Lee | Physician Assistant | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2019-12-02 |
1083263834 | Erin Nicole Duffy | Social Worker | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2019-09-04 |
1285195784 | Milani M Philip | Nurse Practitioner | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2019-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
Find all providers in zip 60563 |
Taxonomy Code | 2085D0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Neuroimaging |
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104476670 | Nyssa Perkins | Radiology | 4717 N Knoxville Ave, Peoria, IL 61614-6111 | 2019-09-17 |
1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
1336701770 | Sreeshma Tellapuri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2019-07-06 |
1295213874 | Elie Barakat | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-08-05 |
1134643364 | Mustafa Anwer Jasim Mafraji | Radiology | 1653 W Congress Pkwy Dept Of, Chicago, IL 60612-3833 | 2017-07-30 |
1962924902 | Nisa Cem Oren | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-07-12 |
1609216399 | Ramya Santhosh Gaddikeri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2013-06-27 |
1568604726 | Mariah Haider Bashir | Radiology | 2160 S 1st Ave, Dept of Radiology, Maywood, IL 60153-3328 | 2009-04-01 |
1578772570 | Milroy S Emmanuel | Radiology | 4955 N Milwaukee Ave, Suite 1, Chicago, IL 60630-2286 | 2007-05-22 |
City | NAPERVILLE |
Zip Code | 60563 |
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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.