PRIMECARE DIAGNOSTICS IMAGING GROUP, INC. (NPI# 1902119530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902119530 |
| Entity Type | Organization |
| Organization Name | PRIMECARE DIAGNOSTICS IMAGING GROUP, INC. |
| Practice Address |
6422 N Western Ave Chicago IL 60645-5422 |
| Mailing Address |
2801 W Estes Ave Chicago IL 60645-2903 |
| Practice Telephone | 7734418880 |
| Mailing Telephone | 7734418880 |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2010-07-25 |
| Authorized Official Name | MR. ANH NGUYEN (V.P.) |
| Authorized Official Telephone | 7734418880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
6422 N WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700048626 | Kenton Diagnostics, Inc | Clinic/Center | 6422 N Western Ave, Chicago, IL 60645-5422 | 2008-07-01 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1578920401 | Hope Women's Imaging and Medical Center, LLC | Clinic/Center | 3517 W Devon Ave, Chicago, IL 60659-1305 | 2016-01-22 |
| 1679996482 | Vision Imaging Professionals | Clinic/Center | 833 W 15th Pl Unit 314, Chicago, IL 60608-1848 | 2014-01-29 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1881827251 | Archer Kedzie Imaging LLC | Clinic/Center | 4365 S Archer Ave, Chicago, IL 60632-2826 | 2009-09-01 |
| 1386767937 | Resurrection Services | Clinic/Center | 3101 N Harlem Ave, Resurrection Open Mri Imaging Center, Chicago, IL 60634-4532 | 2007-04-09 |
| 1821132127 | Advanced Diagnostics, Sc | Clinic/Center | 2300 W. Peterson Avenue, Chicago, IL 60659-5242 | 2007-02-19 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1366490021 | Hawthorne Works Medical Imaging, LLC | Clinic/Center | 4701 W Cermak Rd, Chicago, IL 60804-2508 | 2006-05-05 |
| 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.