MEDPRO IMAGING MOBILE SERVICES, LLC (NPI# 1205166915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166915 |
| Entity Type | Organization |
| Organization Name | MEDPRO IMAGING MOBILE SERVICES, LLC |
| Other Organization Name | MEDPRO MOBILE |
| Practice Address |
2410 Alft Ln Ste 100 Elgin IL 60124-8090 |
| Practice Telephone | 3079708956 |
| Practice Fax Number | 8889878744 |
| Mailing Telephone | 6307970895 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | MRS. ROBIN SUE HOFFMAN (PRESIDEND/CEO) |
| Authorized Official Telephone | 6304250088 |
| Authorized Official Credential | RDMS, RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
WI | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Medpro Mobile | Other Name - Individual/Organization |
| Street Address |
2410 ALFT LN STE 100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60124-8090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840767 | Craig A. Andresen | Chiropractor | 2410 Alft Ln Ste 100, Elgin, IL 60124-7843 | 2006-08-21 |
| 1962913616 | Buffy Yatos | Technician, Other | 2410 Alft Ln Ste 100, Elgin, IL 60124-8090 | 2017-10-21 |
| 1821393638 | Andresen Active Healthcare, P.C. | Chiropractor | 2410 Alft Ln Ste 100, Elgin, IL 60124-7843 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
| 1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
| 1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
| 1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
| 1134286057 | Siri Chanthasalo | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2007-01-02 |
| Find all providers in zip 60124 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932137502 | Midwest Imaging 1 Inc | Radiologic Technologist | 64 N Alfred Ave Ste A, Elgin, IL 60123-5284 | 2006-06-30 |
| 1235358151 | Rabia Baig | Radiologic Technologist | 64 N Alfred Ave, Elgin, IL 60123-5284 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725886 | Anam Butt | Radiologic Technologist | 11330 S Harlem Ave Ste 4, Worth, IL 60482-2060 | 2020-03-20 |
| 1205256849 | Michael Schokin | Radiologic Technologist | 755 Grove Dr, 208, Buffalo Grove, IL 60089-4047 | 2014-04-22 |
| 1225473168 | Dilip B Patel | Radiologic Technologist | 2166 W Silverleaf Ln, Addison, IL 60101-6402 | 2013-05-06 |
| 1639414857 | Dimon X Inc | Radiologic Technologist | 1409 Chippewa Trl, Wheeling, IL 60090-5159 | 2012-11-28 |
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1669742623 | Liberty Diagnostic Services | Radiologic Technologist | 518 S Highway 31, Mchenry, IL 60050-7464 | 2012-01-09 |
| 1669764551 | Halina Kurylovich | Radiologic Technologist | 836 S. Nortthwest Hwy, A - Back, Barrington, IL 60010-4622 | 2011-05-10 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1184956963 | Bux Diagnostics Inc | Radiologic Technologist | 7519 Keystone Ave, Skokie, IL 60076-3928 | 2010-02-04 |
| 1508099540 | Maria Arenas | Radiologic Technologist | 150 Well Street, Park Forest, IL 60466-0000 | 2009-08-25 |
| Find all providers with the same taxonomy | ||||
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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.