KENTON DIAGNOSTICS, INC (NPI# 1700048626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700048626 |
| Entity Type | Organization |
| Organization Name | KENTON DIAGNOSTICS, INC |
| Practice Address |
6422 N Western Ave Chicago IL 60645-5422 |
| Mailing Address |
Po Box 4787 Skokie IL 60076-4787 |
| Practice Telephone | 7734653500 |
| Mailing Telephone | 8478406761 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | BASSERA ZAFAR (PRESIDENT) |
| Authorized Official Telephone | 8478406761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
6422 N WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902119530 | Primecare Diagnostics Imaging Group, Inc. | Clinic/Center | 6422 N Western Ave, Chicago, IL 60645-5422 | 2010-07-25 |
| 1780824979 | American Clinical Labs Inc. | Clinical Medical Laboratory | 6422 N Western Ave, Chicago, IL 60645-5422 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326421363 | Medi-ray Portable, Inc | Clinic/Center | 7132 N Harlem Ave Ste 104, Chicago, IL 60631-1086 | 2015-07-08 |
| 1770976979 | Ecuamachines Inc. | Clinic/Center | 3149 S Karlov Ave, Chicago, IL 60623-4818 | 2015-03-11 |
| 1649428301 | Fastrad Chicago LLC | Clinic/Center | 3553 West Peteson Street, Suite 204, Chicago, IL 60659 | 2008-09-05 |
| 1881842961 | Fastrad LLC | Clinic/Center | 6153 N Monticello Ave, Chicago, IL 60659-1112 | 2008-09-03 |
| 1033367248 | Medical Outsourcing Services, LLC | Clinic/Center | 15477 Collection Center Dr, Chicago, IL 60693-0001 | 2008-08-29 |
| 1720261746 | Medlife Healthcare Inc. | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2007-12-13 |
| 1114117017 | Quality Diagnostic Ultrasound, Corp | Clinic/Center | 4815 W Belle Plaine Ave Apt 209, Chicago, IL 60641-1841 | 2007-07-26 |
| 1306946322 | Universal Portable X-ray Service, Inc. | Clinic/Center | 5630 N Elston Ave, Suite 101, Chicago, IL 60646-6547 | 2006-09-22 |
| 1033166558 | Us Services | Clinic/Center | 6259 W Higgins Ave, Chicago, IL 60630-1846 | 2006-05-29 |
| 1477509966 | H & H Diagnostics, Inc | Clinic/Center | 6348 N Western Ave, Chicago, IL 60659-2010 | 2006-05-26 |
| 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.