NORTHWEST SUBURBAN IMAGING ASSOCIATES, S.C. (NPI# 1356310163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356310163 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SUBURBAN IMAGING ASSOCIATES, S.C. |
| Practice Address |
1425 N Randall Rd Elgin IL 60123-2300 |
| Mailing Address |
34659 Eagle Way Chicago IL 60678-1346 |
| Practice Telephone | 8477429800 |
| Mailing Telephone | 6308742542 |
| Mailing Fax Number | 6308742642 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | AJAY MEHTA (PRESIDENT) |
| Authorized Official Telephone | 8477429800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036062431 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036062431 | IL | Allopathic & Osteopathic Physicians |
| N | 207U00000X | Nuclear Medicine | 036062431 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036062431 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | CK5174 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 04532088 | 01 |
| Street Address |
1425 N RANDALL RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888221 | Sylvia Moreno | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-10-15 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1861014318 | Heather Rose Krusemark | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-05-07 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1669011342 | Ashley Krynski | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-12-30 |
| 1023650132 | Nicole Carpenter | Counselor | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-10-09 |
| 1326507963 | Karen Sue Mcgann | Occupational Therapy Assistant | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-03-13 |
| 1033676978 | Jaclyn Mastrangeli | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-02-27 |
| 1508368523 | Abby Chovanec | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2018-03-06 |
| 1891210647 | Pratixa Patel | Registered Nurse | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2017-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
| 1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
| 1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
| 1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
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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.