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DAWN DIAGNOSTICS IMAGING GROUP INC. NPI 1720366701


NPI Information

NPI: 1720366701
Provider Name: DAWN DIAGNOSTICS IMAGING GROUP INC.
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization

CLIA Number: 14D2284230

Address:
2900 W PETERSON AVE
SUITE 6
CHICAGO, IL
ZIP 60659
Phone: (847) 840-6761
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DAWN DIAGNOSTICS IMAGING GROUP INC. is a portable x ray and or other portable diagnostic imaging supplier in Chicago, IL. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. DAWN DIAGNOSTICS IMAGING GROUP INC. NPI is 1720366701. The provider is registered as an organization entity type.

The provider's business location address is:

2900 W PETERSON AVE
SUITE 6
CHICAGO, IL
ZIP 60659-818
Phone: (847) 840-6761

The provider's authorized official is Imitiaz H Awan .
The authorized official title is President and has the following contact phone number (847) 840-6761.

The CLIA number assigned to this NPI record is 14D2284230 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2011 and was last updated on 7/26/2011.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

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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