MEDICAL DIAGNOSTIC SERVICES INC (NPI# 1992962682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992962682 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC SERVICES INC |
| Practice Address |
3701 Jarvis Ave Skokie IL 60076-4019 |
| Practice Telephone | 8476260800 |
| Practice Fax Number | 8476260819 |
| Mailing Telephone | 8476260800 |
| Mailing Fax Number | 8476260819 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2015-01-25 |
| Authorized Official Name | MR. SHAMS U SIDDIQUI (CEO) |
| Authorized Official Telephone | 8476260800 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL DIAGNOSTIC SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912169186 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-06-30 |
| 1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
| 1861648917 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-08-08 |
| 1225294317 | Medical Diagnostic Services Inc | Physiological Laboratory | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-07-29 |
| 1922260181 | Medical Diagnostic Services Inc | Internal Medicine | 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-06-30 |
| 1487816641 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8007 S Meridian St, Ste 2c, Indianapolis, IN 46217-2901 | 2008-06-30 |
| 1952568636 | Medical Diagnostic Services Inc | Physiological Laboratory | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| 1770643512 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-12-11 |
| Street Address |
3701 JARVIS AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250053 | Najma A. Mirza | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-06-07 |
| 1952568636 | Medical Diagnostic Services Inc | Physiological Laboratory | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2008-05-20 |
| 1770643512 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475870 | Riaz Ahmed | Radiology | 9535 Kostner Ave, Skokie, IL 60076-1329 | 2011-10-21 |
| 1174839575 | Dawn Diagnostics Imaging Group Inc. | Radiology | 8023 Kilpatrick Ave Apt 1a, Skokie, IL 60076-3055 | 2010-08-23 |
| 1043250053 | Najma A. Mirza | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-06-07 |
| 1104881960 | Open Advanced Mri of Skokie, LLC | Radiology | 7152 Carpenter Rd, Skokie, IL 60077-3279 | 2006-04-17 |
| 1639141419 | United Diagnostic Systems Inc | Radiology | 5301 W Dempster St, Ste 203, Skokie, IL 60077 | 2006-02-06 |
| 1821052648 | Open Advanced Mri At North Shore, LLC | Radiology | 9933 Lawler Ave, Suite 135, Skokie, IL 60077-3703 | 2006-04-17 |
| 1609849827 | United Medical Services Inc | Radiology | 5301 Dempster St, Ste 201, Skokie, IL 60077-1846 | 2006-02-08 |
| 1124011887 | Skokie Valley Ct Centre | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-29 |
| 1508859349 | North Shore Mri Centre | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| 1700879566 | Gary J Novetsky | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| Find all providers in SKOKIE | ||||
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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.