FOCUS DIAGNOSTIC ULTRASOUND INC , NPI 1184783359 — CHICAGO (IL)

NPI 1184783359

13+ Years Experience Organization

FOCUS DIAGNOSTIC ULTRASOUND INC

12.06.2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1184783359
NPI NUMBER

About FOCUS DIAGNOSTIC ULTRASOUND INC

FOCUS DIAGNOSTIC ULTRASOUND INC is a provider established in CHICAGO, IL. The NPI number of FOCUS DIAGNOSTIC ULTRASOUND INC is 1184783359 and was assigned on 12.06.2006. The practitioners primary taxonomy code is: 2471S1302X with license number: 117674 IL .

Mailing address

  • City: CHICAGO
  • State: IL
  • Postal code: 606341921
  • Address: 3848 N PLAINFIELD AVE

Primary Practice Address

  • Region : CHICAGO, IL
  • NPI : 1184783359
  • Phone : 7737042910
  • Postalcode : 606341921
  • Address : 3848 N PLAINFIELD AVE

Provider taxonomy - Radiologic Technologist

  • Taxonomy code: 2471S1302X
  • License number: 117674
  • License state: IL

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X SINGLE SPECIALTY GROUP.

Contacts:

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  • FOCUS DIAGNOSTIC ULTRASOUND INC
  • Address : 3848 N PLAINFIELD AVE
  • Region : CHICAGO, IL
  • NPI : 1184783359
  • Phone : 7737042910
  • Postalcode : 606341921

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 7737042910
  • Title or position : PRESIDENT

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address3848 N PLAINFIELD AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCHICAGO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameIL
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code606341921
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7737042910
The telephone number associated with the location address of the provider being identified.
NPI1184783359
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12471S1302X
Provider Enumeration Date12.06.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)FOCUS DIAGNOSTIC ULTRASOUND INC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address3848 N PLAINFIELD AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameCHICAGO
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameIL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code606341921
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Authorized Official Last NameJABLONSKA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameMALGORZATA
The first name of the authorized official
Authorized Official Title or PositionPRESIDENT
The title or position of the authorized official
Authorized Official Telephone Number7737042910
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #12471S1302X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiologic Technologist
Provider License Number 1117674
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1IL
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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