Home Images of Illinois

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

PENDING Issued in IL

Legal business name

HOME IMAGES OF ILLINOIS

Practice address

2241 207TH PL
Lynwood, IL 60411-1538

Phone

(630) 788-4527

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

M C Hearon

Title

President

Phone

(630) 788-4527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1093976839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434013",
            "telephone_number": "630-788-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 207TH PL",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111538",
            "telephone_number": "630-788-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME IMAGES OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "HEARON",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-788-4527"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "IL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Radiologic Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.