ENVISION MOBILE IMAGING, LLC (NPI# 1073043469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073043469 |
| Entity Type | Organization |
| Organization Name | ENVISION MOBILE IMAGING, LLC |
| Practice Address |
800 Austin St Evanston IL 60202-3439 |
| Practice Telephone | 3125150289 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Authorized Official Name | MARCELLO P PAOLELLA (OWNER) |
| Authorized Official Telephone | 3125150289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
IL | Ambulatory Health Care Facilities |
| Street Address |
800 AUSTIN ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506665 | Thomas J Campbell | Internal Medicine | 800 Austin St, Ste 451e, Evanston, IL 60202-3455 | 2005-05-27 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| 1467949594 | Hazel H Almores | Nurse Practitioner | 800 Austin St, East Tower, Ste 360, Evanston, IL 60202 | 2018-04-14 |
| 1407209265 | Czamira Alba | Nurse Practitioner | 800 Austin St, Ste 369, Evanston, IL 60202-3439 | 2016-07-18 |
| 1396103230 | Gnogno Md Visiting Physician Group Inc. | Internal Medicine | 800 Austin St, 269e, Evanston, IL 60202-3439 | 2016-02-07 |
| 1255706131 | Presence Chicago Hospitals Network | Internal Medicine | 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 | 2015-12-03 |
| 1730566779 | Sonam Shokso | Nurse Practitioner | 800 Austin St, Suite 269, Evanston, IL 60202-3439 | 2015-04-29 |
| 1235574237 | Anshu Gupta, Md, P.C. | Internal Medicine | 800 Austin St, Suite 607, West Tower, Evanston, IL 60202-3439 | 2013-05-03 |
| 1447508874 | Mohamad Albsheri | Student in an Organized Health Care Education/Training Program | 800 Austin St, Evanston, IL 60202-3439 | 2012-08-15 |
| 1962763276 | Agata Natalia Pluzyczka | Family Medicine | 800 Austin St, West Tower, Suite 505, Evanston, IL 60202-3439 | 2012-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801297288 | North Suburban Ultrasound, LLC | Clinic/Center | 800 Austin St Ste 466, Evanston, IL 60202-3455 | 2014-09-04 |
| 1770882086 | Alliance Healthcare Services Inc | Clinic/Center | 355 Ridge Ave, Evanston, IL 60202-3328 | 2011-03-25 |
| 1083657332 | Alliance Healthcare Services Inc | Clinic/Center | 355 Ridge Ave, Evanston, IL 60202-3328 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919466 | Jts Health Care Management, Inc | Clinic/Center | 1138 Londonberry Ln, Glen Ellyn, IL 60137-6110 | 2020-07-21 |
| 1639737307 | Lifecare Imaging Inc | Clinic/Center | 900 Jorie Blvd Ste 20, Oak Brook, IL 60523-2235 | 2019-05-29 |
| 1093211518 | Starlab Diagnostics Inc | Clinic/Center | 9213 Parklane Ave Ste 101, Franklin Park, IL 60131-2837 | 2018-04-03 |
| 1326421363 | Medi-ray Portable, Inc | Clinic/Center | 7132 N Harlem Ave Ste 104, Chicago, IL 60631-1086 | 2015-07-08 |
| 1588058150 | Lev Diagnostics LLC | Clinic/Center | 3194 Doolittle Dr, Northbrook, IL 60062 | 2015-03-23 |
| 1770976979 | Ecuamachines Inc. | Clinic/Center | 3149 S Karlov Ave, Chicago, IL 60623-4818 | 2015-03-11 |
| 1003226960 | Amr Enterprises LLC | Clinic/Center | 2200 S Main St Ste 206, Lombard, IL 60148-5365 | 2014-05-01 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1760739312 | Echo Imaging, Inc. | Clinic/Center | 9001 Darien Woods Ct, Darien, IL 60561-5286 | 2012-08-13 |
| 1932498946 | Sono Elite Imaging | Clinic/Center | 322 Yorktown Ctr, Lombard, IL 60148-5564 | 2011-03-30 |
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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.