SOUMA DIAGNOSTICS, LTD (NPI# 1104953017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104953017 |
| Entity Type | Organization |
| Organization Name | SOUMA DIAGNOSTICS, LTD |
| Practice Address |
680 N Lake Shore Dr Suite 1429 Chicago IL 60611-4546 |
| Mailing Address |
Po Box 11690 Chicago IL 60611-0690 |
| Practice Telephone | 3126549100 |
| Practice Fax Number | 3126549202 |
| Mailing Telephone | 7737352110 |
| Mailing Fax Number | 7737354238 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RUDY E SABBAGH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3126549100 |
| Authorized Official Credential | MD,FACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
680 N LAKE SHORE DR SUITE 1429 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052885 | Jeanette A. Dubay-mcdermit | Nurse Anesthetist, Certified Registered | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2005-06-13 |
| 1023621406 | Akshar Patel | Student in an Organized Health Care Education/Training Program | 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 | 2020-08-26 |
| 1952873267 | Kimberly Sumislawski | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-12-27 |
| 1598251571 | Asia Giammarco | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-07-02 |
| 1497253256 | Samantha M C Tan | Nurse Practitioner | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-01-26 |
| 1871040642 | Kathleen Dady | Genetic Counselor, MS | 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 | 2016-09-08 |
| 1205382496 | Rachel Green Dunn | Nurse Practitioner | 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 | 2016-08-29 |
| 1730634791 | Kelly Elizabeth Smyth | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611 | 2016-08-19 |
| 1982158036 | Patricia Gale, Md, S.c. | Clinic/Center | 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 | 2016-08-06 |
| 1013460930 | Julia Goldin | Registered Nurse | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810389 | Mary Mckimmon | Radiology | 2250 W Berteau Ave, Chicago, IL 60618-2940 | 2020-04-24 |
| 1568976892 | First Look Imaging Inc | Radiology | 3647 N Newland Ave, Chicago, IL 60634-2373 | 2017-11-22 |
| 1972639953 | Rudy E Sabbagha | Radiology | 680 N Lake Shore Dr Ste 1430, Chicago, IL 60611-8702 | 2007-02-26 |
| 1902806649 | Michael Applebaum | Radiology | 845 N Michigan Ave, Suite 935 East, Chicago, IL 60611-2252 | 2005-07-22 |
| 1114549631 | Brice Stettler | Radiology | 225 E Chicago Ave, Chicago, IL 60611 | 2020-05-07 |
| 1003043837 | Benjamin Jordan Meyer | Radiology | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2009-06-19 |
| 1851429054 | Obstetric & Gynecologic Ultrasound. | Radiology | 680 N Lake Shore Dr, Suite 1430, Chicago, IL 60611-4546 | 2007-03-01 |
| 1952456956 | Snz Diagnostics Inc | Radiology | 1544 W Chicago Ave, Chicago, IL 60622 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461783 | Illinois Mobile Imaging Inc | Radiology | 16170 Quail Ct, Orland Hills, IL 60487-5992 | 2020-09-13 |
| 1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1952942039 | Intuitive Care Group | Radiology | 277 Boston St, Chicago Heights, IL 60411-4026 | 2019-09-30 |
| 1023575438 | Img Sound LLC | Radiology | 1363 Shermer Rd Ste 214, Northbrook, IL 60062-4575 | 2019-02-22 |
| 1659737401 | Dunne Medical Ltd. | Radiology | 888 S Kirk Ave, Elmhurst, IL 60126-5111 | 2016-01-10 |
| 1043641715 | Open Mri of Elk Grove, LLC | Radiology | 134 Biesterfield Rd, Elk Grove Village, IL 60007-3657 | 2013-12-06 |
| 1760725519 | Globus Group, Inc | Radiology | 752 S Parkside Dr, Round Lake, IL 60073-4260 | 2013-03-30 |
| 1588925143 | Advance Ultrasounds Ltd | Radiology | 2516 Oasis Dr, Plainfield, IL 60586-9849 | 2012-05-30 |
| 1851529473 | Thomas A. Cybulski | Radiology | 5012 Switchgrass Lane, Naperville, IL 60564 | 2009-06-23 |
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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.