NPIMap

Organization Active NPI

Physicians Medical Imaging, S.C.

  • Diagnostic Radiology Physician
  • Northbrook, IL
National Provider Identifier
1093148462
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.133592 Issued in IL
Legal business name
PHYSICIANS MEDICAL IMAGING, S.C.
Practice address
1901 Raymond Dr
Suite 19
Northbrook, IL 60062-6720
Phone
(847) 796-6666
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Joseph Leslie Skeens, M.D.
Title
President
Phone
(847) 796-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 036.133592 IL Primary

Addresses

Primary practice location

1901 Raymond Dr
Suite 19
Northbrook, IL 60062-6720

Mailing address

1901 Raymond Dr
Suite 19
Northbrook, IL 60062-6720
Phone (847) 796-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1093148462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-796-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-796-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL IMAGING, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-796-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.133592",
            "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 Mar 17, 2014; 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.