Active NPI
Heart Med LLC
- Mobile Radiology Clinic/Center
- Skokie, IL
National Provider Identifier
1003363979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 05945976
- Legal business name
- HEART MED LLC
- Practice address
- 8019 Ridgeway Ave
Skokie, IL 60076 - Phone
- (847) 208-5756
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Zayan
- Title
- Owner
- Phone
- (847) 208-5756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 05945976 | IL | Primary |
Addresses
Primary practice location
8019 Ridgeway Ave
Skokie, IL 60076
Mailing address
8015 Ridgeway Ave
Skokie, IL 60076-3416
Phone (847) 208-5756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161026002138 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8921386954 | Practice locations: Skokie, IL |
National Provider Directory
National Provider DirectoryLocations
8015 Ridgeway Ave
Skokie, IL 60076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Highland Park, IL
- NPI 1699783126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641340800000",
"number": "1003363979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763416",
"telephone_number": "847-208-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-208-5756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A",
"authorized_official_last_name": "ZAYAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-208-5756",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "IL",
"license": "05945976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.