CHICAGO MEDICAL SPECIALISTS CHARTERED (NPI# 1639479421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639479421 |
| Entity Type | Organization |
| Organization Name | CHICAGO MEDICAL SPECIALISTS CHARTERED |
| Other Organization Name | CHICAGOLAND NEURODIAGNOSTICS |
| Practice Address |
244 E Roosevelt Rd Lombard IL 60148-4647 |
| Practice Telephone | 3128424588 |
| Practice Fax Number | 3126350108 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | DR. TIAN XIA (OWNER) |
| Authorized Official Telephone | 3128424588 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Chicagoland Neurodiagnostics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9501 Indianapolis Blvd Ste 3a, Highland, IN 463222665 | 6306296298 | 3122777646 |
| Street Address |
244 E ROOSEVELT RD |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447290713 | Integrated Pain Management Sc | Anesthesiology | 244 E Roosevelt Rd, Lombard, IL 60148-4647 | 2006-06-07 |
| 1013324391 | Ravi Reddy | Physical Therapist | 244 E Roosevelt Rd, Lombard, IL 60148-4647 | 2014-07-17 |
| 1457437246 | David S Zuelke | Chiropractor | 244 E Roosevelt Rd, Lombard, IL 60148-4647 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587852 | Express Medical Labs LLC | Physiological Laboratory | 9830 Ridgeland Ave Ste 115, Chicago Ridge, IL 60415-2667 | 2020-10-28 |
| 1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
| 1174901920 | Midwest Diagnostics Incorporated | Physiological Laboratory | 1555 S Redwood Dr, Mt Prospect, IL 60056-4906 | 2015-05-13 |
| 1023406477 | Physician Imaging Solutions Inc | Physiological Laboratory | 24012 W Lockport St, Suite 2e, Plainfield, IL 60544-2280 | 2015-01-07 |
| 1356752620 | Primera Healthcare Solutions, Inc. | Physiological Laboratory | 3340 Dundee Rd Ste 2c4, Northbrook, IL 60062-2331 | 2014-05-08 |
| 1053619742 | Valley Regional Health Services L3c | Physiological Laboratory | 4391 Venture Dr, Peru, IL 61354-1014 | 2011-03-04 |
| 1780826230 | Division Mri, Inc. | Physiological Laboratory | 2618 W Division St, Chicago, IL 60622-7107 | 2009-03-30 |
| 1710130539 | Irhythm Technologies, Inc. | Physiological Laboratory | 2 Marriott Dr, Lincolnshire, IL 60069-3700 | 2008-10-23 |
| 1336399583 | Univ. of Illinois At Chicago | Physiological Laboratory | 851 S Morgan St, Seo, Mc 063, Room 218, Chicago, IL 60607-7042 | 2008-09-24 |
| 1407043581 | Effingham Sleep Center, Inc | Physiological Laboratory | 2313 Hoffman Dr, Effingham, IL 62401-2839 | 2007-10-02 |
| 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.