LIBERTY DIAGNOSTIC SERVICES (NPI# 1669742623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669742623 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIAGNOSTIC SERVICES |
| Practice Address |
518 S Highway 31 Mchenry IL 60050-7464 |
| Practice Telephone | 8153382411 |
| Mailing Telephone | 8153382411 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | MR. GARY LEE COLLETT (CEO) |
| Authorized Official Telephone | 8153382411 |
| Authorized Official Credential | RDMS |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 6019701 | 05 |
| Street Address |
518 S HIGHWAY 31 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-7464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725886 | Anam Butt | Radiologic Technologist | 11330 S Harlem Ave Ste 4, Worth, IL 60482-2060 | 2020-03-20 |
| 1205256849 | Michael Schokin | Radiologic Technologist | 755 Grove Dr, 208, Buffalo Grove, IL 60089-4047 | 2014-04-22 |
| 1225473168 | Dilip B Patel | Radiologic Technologist | 2166 W Silverleaf Ln, Addison, IL 60101-6402 | 2013-05-06 |
| 1639414857 | Dimon X Inc | Radiologic Technologist | 1409 Chippewa Trl, Wheeling, IL 60090-5159 | 2012-11-28 |
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1669764551 | Halina Kurylovich | Radiologic Technologist | 836 S. Nortthwest Hwy, A - Back, Barrington, IL 60010-4622 | 2011-05-10 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1184956963 | Bux Diagnostics Inc | Radiologic Technologist | 7519 Keystone Ave, Skokie, IL 60076-3928 | 2010-02-04 |
| 1508099540 | Maria Arenas | Radiologic Technologist | 150 Well Street, Park Forest, IL 60466-0000 | 2009-08-25 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 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.