NPIMap

Organization Active NPI

Hias Diagnostics Inc

  • Diagnostic Ultrasound Physician
  • Long Grove, IL
National Provider Identifier
1083637417
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
HIAS DIAGNOSTICS INC
Practice address
4160 Il Route 83 Ste 204-B
Long Grove, IL 60047-8034
Phone
(312) 972-7777
Fax
(847) 972-1867
NPI assigned
Jul 26, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Michael SchokinNPI 1205256849
Title
Office Manager
Phone
(312) 972-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 036063273 IL
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

4160 Il Route 83 Ste 204-B
Long Grove, IL 60047-8034

Mailing address

4160 Il Route 83 Ste 204-B
Long Grove, IL 60047-8034
Phone (312) 972-7777

Other identifiers 1

IdentifierTypeStateIssuer
036063273MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104001060 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1456309665 Practice locations: Long Grove, IL

National Provider Directory

National Provider Directory

Locations

5 S Wabash Ave
Ste 917B
Chicago, IL 60603
Phone (773) 620-7130

4023 Church St
#A
Skokie, IL 60076
Phone (773) 456-7130

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1083637417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83 STE 204-B",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "312-972-7777",
            "fax_number": "847-972-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83 STE 204-B",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "312-972-7777",
            "fax_number": "847-972-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAS DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SCHOKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-972-7777"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IL",
            "license": "036063273",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.