Active NPI
Img Sound LLC
- Diagnostic Ultrasound Physician
- Northbrook, IL
National Provider Identifier
1023575438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- IMG SOUND LLC
- Practice address
- 1363 Shermer Rd Ste 214
Northbrook, IL 60062-4575 - Phone
- (847) 687-2241
- Fax
- (224) 326-2998
- NPI assigned
- Feb 22, 2019
- 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. Konstantin Kipiani
- Title
- Director
- Phone
- (847) 687-2241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
1363 Shermer Rd Ste 214
Northbrook, IL 60062-4575
Mailing address
2050 Valencia Dr Apt 214C
Northbrook, IL 60062-7072
Phone (847) 687-2241
National Provider Directory
National Provider DirectoryLocations
1363 Shermer Rd
Ste 214
Northbrook, IL 60062
Phone (847) 687-2241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550793600000",
"number": "1023575438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 VALENCIA DR APT 214C",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627072",
"telephone_number": "847-687-2241",
"fax_number": "224-326-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 SHERMER RD STE 214",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624575",
"telephone_number": "847-687-2241",
"fax_number": "224-326-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMG SOUND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A",
"authorized_official_last_name": "KIPIANI",
"authorized_official_first_name": "KONSTANTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-687-2241",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.