Division Medical & Diagnostics Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

DIVISION MEDICAL & DIAGNOSTICS INC

Practice address

4913 W Fullerton Ave
Chicago, IL 60639-2505

Phone

(773) 637-2000

Fax

(773) 367-2006

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raghu Nayak

Title

President

Phone

(630) 986-1240

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013012681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392505",
            "telephone_number": "773-637-2000",
            "fax_number": "773-367-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392505",
            "telephone_number": "773-637-2000",
            "fax_number": "773-367-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION MEDICAL & DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-986-1240"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "1625675",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Sonography Radiologic Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.