MEDIQUEST DIAGNOSTIC CENTER S.C (NPI# 1568419778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568419778 |
| Entity Type | Organization |
| Organization Name | MEDIQUEST DIAGNOSTIC CENTER S.C |
| Other Organization Name | MED-QUEST RADIOLOGY |
| Practice Address |
3420 W Peterson Ave Chicago IL 60659-3418 |
| Practice Telephone | 7736044305 |
| Practice Fax Number | 8472968860 |
| Mailing Telephone | 7736044305 |
| Mailing Fax Number | 8472968860 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MRS. SABIHA N AHMED (PRESIDENT) |
| Authorized Official Telephone | 6308946105 |
| Authorized Official Credential | B.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
9258142 | IL | Technologists, Technicians & Other Technical Service Providers |
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
N / A | IL | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Med-Quest Radiology | Doing Business As Name - Organization |
| Street Address |
3420 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740554567 | Earle Ronald Kelwyn Grosvenor | Counselor | 3420 W Peterson Ave, Suite 6, Chicago, IL 60659-3418 | 2012-02-24 |
| 1275837734 | Teresa A. Wanczyk | Neuromusculoskeletal Medicine & OMM | 3420 W Peterson Ave, Suite 6, Chicago, IL 60659-3418 | 2010-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720214109 | Attic Diagnostic Solutions LLC | Spec/Tech, Cardiovascular | 6720 N Sheridan Rd, Suite.201, Chicago, IL 60626-4572 | 2009-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446477 | Rossley Bradley | Spec/Tech, Cardiovascular | 4557 Lincoln Hwy, Matteson, IL 60443-2354 | 2020-01-24 |
| 1114290889 | Khojasteh Kathy Taheri | Spec/Tech, Cardiovascular | 2534 Wild Dunes Ct, Aurora, IL 60503-5648 | 2012-02-10 |
| 1326319260 | Julie Dalgaard | Spec/Tech, Cardiovascular | 604 E Thornwood Dr, South Elgin, IL 60177-3239 | 2012-01-24 |
| 1174894539 | Premier Diagnostic Imaging Services Inc | Spec/Tech, Cardiovascular | 1784 E Oakton St, #113, Des Plaines, IL 60018-2168 | 2012-01-17 |
| 1730486358 | Sheila Holdren | Spec/Tech, Cardiovascular | 505 16th St, Silvis, IL 61282-2624 | 2011-02-16 |
| 1619282183 | Echofast | Spec/Tech, Cardiovascular | 4056 Thatcher Dr, Aurora, IL 60504-5374 | 2010-08-09 |
| 1669784765 | Sushma Wadhwa | Spec/Tech, Cardiovascular | 1600 Woodside Dr, Freeport, IL 61032-6730 | 2010-07-07 |
| 1124271143 | It Consulting & Diagnostics Inc | Spec/Tech, Cardiovascular | 1572 Brandywyn Ln, Buffalo Grove, IL 60089-1003 | 2008-11-04 |
| 1912162496 | Progressive Diagnostics,inc. | Spec/Tech, Cardiovascular | 2404 High Meadow Rd, Naperville, IL 60564-5375 | 2008-07-23 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 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.