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DIVISION MEDICAL & DIAGNOSTICS INC NPI 1013012681


NPI Information

NPI: 1013012681
Provider Name: DIVISION MEDICAL & DIAGNOSTICS INC
Classification: Radiologic Technologist - 2471S1302X
Entity Type: Organization

Specialization: Sonography

Address:
4913 W FULLERTON AVE
CHICAGO, IL
ZIP 60639
Phone: (773) 637-2000
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DIVISION MEDICAL & DIAGNOSTICS INC is a sonography radiologic technologist in Chicago, IL. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. DIVISION MEDICAL & DIAGNOSTICS INC NPI is 1013012681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4913 W FULLERTON AVE
CHICAGO, IL
ZIP 60639-505
Phone: (773) 637-2000
Fax: (773) 367-2006

The provider's authorized official is Raghu Nayak .
The authorized official title is President and has the following contact phone number (630) 986-1240.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471S1302XRadiologic TechnologistSonographyILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11625675OTHERILLINOISBLUE SHIELD OF IL

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: 4/28/2024

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