POLSONO MOBILE ULTRASOUND, P.C. (NPI# 1568652428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568652428 |
| Entity Type | Organization |
| Organization Name | POLSONO MOBILE ULTRASOUND, P.C. |
| Practice Address |
1030 N State St Apt 17h Chicago IL 60610-5492 |
| Practice Telephone | 8474289629 |
| Practice Fax Number | 6304239549 |
| Mailing Telephone | (847) 428-9629 |
| Mailing Fax Number | 6304239549 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | JOYCE MARIE BOWEN (PRESIDENT) |
| Authorized Official Telephone | 8474289629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1030 N STATE ST APT 17H |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-5492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1689727471 | Northshore Imaging Company | Radiologic Technologist | 7455 N Western Ave, Chicago, IL 60645-1735 | 2007-01-18 |
| 1184783359 | Focus Diagnostic Ultrasound Inc | Radiologic Technologist | 3848 N Plainfield Ave, Chicago, IL 60634-1921 | 2006-12-06 |
| 1013012681 | Division Medical & Diagnostics Inc | Radiologic Technologist | 4913 W Fullerton Ave, Chicago, IL 60639-2505 | 2006-09-14 |
| 1821023391 | Lak Imaging Inc | Radiologic Technologist | 1829 N Cleveland Ave, Unit C, Chicago, IL 60614-5273 | 2006-07-12 |
| 1083982052 | Daisy Oms LLC | Radiologic Technologist | 53 W Jackson Blvd, Suite 1337, Chicago, IL 60604-3606 | 2011-12-06 |
| 1578652897 | Maria Teresa Davila | Radiologic Technologist | 1725 W Harrison St, Suite 408, Chicago, IL 60612 | 2006-10-12 |
| 1174626634 | Carol Ann Gil Ramos | Radiologic Technologist | 1725 W Harrison St, #408; Women's Health Consultants, Chicago, IL 60612 | 2006-09-07 |
| Find all providers in CHICAGO | ||||
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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.