Active NPI
BJ Diagnostic Services, Inc.
- Mobile Radiology Clinic/Center
- Chicago, IL
National Provider Identifier
1114057288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- BJ DIAGNOSTIC SERVICES, INC.
- Practice address
- 1608 W 69TH St
Chicago, IL 60636-3316 - Phone
- (773) 471-0017
- NPI assigned
- Mar 6, 2007
- 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. Mohammad A Jamal
- Title
- President
- Phone
- (630) 585-8372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
1608 W 69TH St
Chicago, IL 60636-3316
Mailing address
PO Box 9293
Aurora, IL 60598-9293
Phone (630) 585-8372
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1114057288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9293",
"city": "AURORA",
"state": "IL",
"postal_code": "605989293",
"telephone_number": "630-585-8372",
"fax_number": "630-585-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 W 69TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606363316",
"telephone_number": "773-471-0017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BJ DIAGNOSTIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "JAMAL",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-585-8372",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.