Organization Active NPI

Img Sound LLC

  • Diagnostic Ultrasound Physician
  • Northbrook, IL
National Provider Identifier
1023575438
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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

Updated by the provider on Feb 22, 2019

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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.