MR. HENRY BISKUP RDMS, RVT, RDCS, NPI 1568605178 — CHICAGO (IL)

NPI 1568605178

10+ Years Experience Individual

MR. HENRY BISKUP RDMS, RVT, RDCS

04/13/2009
PROVIDER ENUMERATION DATE
02/15/2016
LAST UPDATE DATE
1568605178
NPI NUMBER

About MR. HENRY BISKUP

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. HENRY BISKUP is a provider established in CHICAGO, IL. The NPI number of MR. HENRY BISKUP is 1568605178 and was assigned on 04/13/2009. The practitioners primary taxonomy code is: 2471S1302X with license number: 111182 .

Mailing address

  • City: ADDISON
  • State: IL
  • Postal code: 601014174
  • Phone: 6302790910
  • Address: 3N265 CARDINAL ST

Primary Practice Address

  • Region : CHICAGO, IL
  • NPI : 1568605178
  • Phone : 7738174645
  • Postalcode : 60634
  • Address : 3105 N. AUSTIN AVE.

Provider taxonomy - Radiologic Technologist

  • Taxonomy code: 2471S1302X
  • License number: 111182

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

Contacts:

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  • MR. HENRY BISKUP RDMS, RVT, RDCS
  • Address : 3105 N. AUSTIN AVE.
  • Region : CHICAGO, IL
  • NPI : 1568605178
  • Phone : 7738174645
  • Postalcode : 60634

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

Field Name Value
Provider First Line Business Practice Location Address3105 N. AUSTIN 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 Code60634
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 Number7738174645
The telephone number associated with the location address of the provider being identified.
NPI1568605178
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12471S1302X
Provider Enumeration Date04/13/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated02/15/2016
The date that a record was last updated or changed.
Entity TypeIndividual
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)MR. HENRY BISKUP
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 Address3N265 CARDINAL ST
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 NameADDISON
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 Code601014174
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".
Provider Business Mailing Address Telephone Number6302790910
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
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 1111182
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.
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.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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