MIDWEST RADIOLOGY ILLINOIS, LTD (NPI# 1770795718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770795718 |
| Entity Type | Organization |
| Organization Name | MIDWEST RADIOLOGY ILLINOIS, LTD |
| Practice Address |
4955 N Milwaukee Ave Suite 8 Chicago IL 60630-2286 |
| Practice Telephone | 7737366283 |
| Practice Fax Number | 7737361403 |
| Mailing Telephone | 7737366283 |
| Mailing Fax Number | 7737361403 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PIERRE ELIE CHATELAIN (PRESIDENT) |
| Authorized Official Telephone | 6302098405 |
| 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 |
4955 N MILWAUKEE AVE SUITE 8 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134203938 | Lakshmaiah B N Setty | Internal Medicine | 4955 N Milwaukee Ave, Suite #7, Chicago, IL 60630-2286 | 2006-10-25 |
| 1902183593 | B N L Setty Md Sc | Specialist | 4955 N Milwaukee Ave, Suite 7, Chicago, IL 60630-2286 | 2011-11-09 |
| 1194934208 | Jefferson Park Medical Center | Clinic/Center | 4955 N Milwaukee Ave, Chicago, IL 60630-2286 | 2007-05-22 |
| 1578772570 | Milroy S Emmanuel | Radiology | 4955 N Milwaukee Ave, Suite 1, Chicago, IL 60630-2286 | 2007-05-22 |
| 1760697775 | Metro Portable X-ray Service | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4955 N Milwaukee Ave, Suite 1, Chicago, IL 60630-2286 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| 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 |
| 1700048626 | Kenton Diagnostics, Inc | Clinic/Center | 6422 N Western Ave, Chicago, IL 60645-5422 | 2008-07-01 |
| 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 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MIDWEST RADIOLOGY ILLINOIS, LTD.
| 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.