MIDWEST IMAGING & DIAGNOSTIC CENTER INC (NPI# 1902844541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844541 |
| Entity Type | Organization |
| Organization Name | MIDWEST IMAGING & DIAGNOSTIC CENTER INC |
| Practice Address |
5702 W 95th St Suite A Oak Lawn IL 60453-2345 |
| Practice Telephone | 7084239982 |
| Practice Fax Number | 7084239984 |
| Mailing Telephone | 7084239982 |
| Mailing Fax Number | 7084239984 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | SULTAN TAHER (OWNER) |
| Authorized Official Telephone | 7084239982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PTAN | 212863 | 01 |
| Street Address |
5702 W 95TH ST SUITE A |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972561975 | Ashraf H Abourahma | Internal Medicine | 5702 W 95th St, Suite B, Oak Lawn, IL 60453-2345 | 2006-05-02 |
| 1326280736 | Rabee Medical Equipment Ltd | Durable Medical Equipment & Medical Supplies | 5702 W 95th St, Oak Lawn, IL 60453-2345 | 2009-03-31 |
| 1497785141 | Dr Ashraf Abourahma M D Ltd | Specialist | 5702 W 95th St, Suite B, Oak Lawn, IL 60453-2345 | 2006-07-04 |
| 1487692893 | Midwest Sleep Lab Inc | Respiratory Therapist, Certified | 5702 W 95th St, Oak Lawn, IL 60453-2345 | 2006-06-04 |
| 1487692109 | Sultan Taher | Respiratory Therapist, Certified | 5702 W 95th St, Suite A, Oak Lawn, IL 60453-2345 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461783 | Illinois Mobile Imaging Inc | Radiology | 16170 Quail Ct, Orland Hills, IL 60487-5992 | 2020-09-13 |
| 1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
| 1841810389 | Mary Mckimmon | Radiology | 2250 W Berteau Ave, Chicago, IL 60618-2940 | 2020-04-24 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1952942039 | Intuitive Care Group | Radiology | 277 Boston St, Chicago Heights, IL 60411-4026 | 2019-09-30 |
| 1023575438 | Img Sound LLC | Radiology | 1363 Shermer Rd Ste 214, Northbrook, IL 60062-4575 | 2019-02-22 |
| 1568976892 | First Look Imaging Inc | Radiology | 3647 N Newland Ave, Chicago, IL 60634-2373 | 2017-11-22 |
| 1659737401 | Dunne Medical Ltd. | Radiology | 888 S Kirk Ave, Elmhurst, IL 60126-5111 | 2016-01-10 |
| 1043641715 | Open Mri of Elk Grove, LLC | Radiology | 134 Biesterfield Rd, Elk Grove Village, IL 60007-3657 | 2013-12-06 |
| 1760725519 | Globus Group, Inc | Radiology | 752 S Parkside Dr, Round Lake, IL 60073-4260 | 2013-03-30 |
| 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.