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NORTHWEST SUBURBAN URGENT CARE NPI 1215156450


NPI Information

NPI: 1215156450
Provider Name: NORTHWEST SUBURBAN URGENT CARE

Doing Business As: NORTHWEST SUBURBAN MEDICAL CENTER

Classification: Radiologic Technologist - 2471N0900X
Entity Type: Organization

Specialization: Nuclear Medicine Technology

Address:
201 S. MILUAKEE AVE.
LAKE VILLA, IL
ZIP 60046
Phone: (847) 356-9016
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NORTHWEST SUBURBAN URGENT CARE is a nuclear medicine technology radiologic technologist in Lake Villa, IL. The provider is a radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care. NORTHWEST SUBURBAN URGENT CARE NPI is 1215156450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwest Suburban Medical Center.

The provider's business location address is:

201 S. MILUAKEE AVE.
LAKE VILLA, IL
ZIP 60046
Phone: (847) 356-9016

The provider's authorized official is Robert Mcmiller .
The authorized official title is Radiologist and has the following contact phone number (847) 356-9016.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1242T00000XPerfusionistIL-01417-01ILLINOISNo
2247100000XRadiologic TechnologistIL-01417-01ILLINOISNo
32471V0105XRadiologic TechnologistVascular SonographyIL-01417-01ILLINOISNo
42471N0900XRadiologic TechnologistNuclear Medicine TechnologyIL-01417-01ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C45845OTHERILLINOISDR. ROBERT MCMILLER UPIN#
2IL-01417-01OTHERILLINOISRADIOLOGY MATERIAL LIC.
3C42529OTHERILLINOISDR. EJAZ RAHIM UPIN #
4D14995OTHERILLINOISDR. JOE F. JACOBS UPIN#
5H62197OTHERILLINOISDR. NIGHAT NISAR UPIN#
6=========OTHERILLINOISEIN NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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