UNITED DIAGNOSTIC SYSTEMS INC NPI 1639141419

NPI Information

NPI: 1639141419
Provider Name: UNITED DIAGNOSTIC SYSTEMS INC

Doing Business As: UNITED MEDICAL DIAGNOSTIC GROUP

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5301 W DEMPSTER ST
STE 203
SKOKIE, IL
ZIP 60077
Phone: (847) 581-9933
Get Directions

UNITED DIAGNOSTIC SYSTEMS INC is a diagnostic radiology radiology in Skokie, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UNITED DIAGNOSTIC SYSTEMS INC NPI is 1639141419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As United Medical Diagnostic Group.

The provider's business location address is:

5301 W DEMPSTER ST
STE 203
SKOKIE, IL
ZIP 60077
Phone: (847) 581-9933
Fax: (847) 581-9922

The provider's authorized official is Eugene Matyukhin .
The authorized official title is Vice President and has the following contact phone number (847) 581-9933.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 4/20/2008.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	212373	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	212374	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	=========6007701	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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