Suburban Mobile Ultrasound Services Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SUBURBAN MOBILE ULTRASOUND SERVICES INC

Practice address

2604 Dempster St
Ste#112
Park Ridge, IL 60068-8412

Phone

(773) 520-1981

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Mohammed Siddiqui

Title

President

Phone

(773) 520-1981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1114463916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "STE#112",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "STE#112",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "773-520-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MOBILE ULTRASOUND SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-520-1981"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Stroud, M.D.
• Alexander Stukalov, M.D
• Ronit Sturmwind, FNP-C
• Kendra J Suba
• Suburban Medical Group, LLC
• Patricia Joan Suchyta, MN, RN, APN,CPNP
• Oscar Antonio Sucre Astorga, M.D
• Joseph Suezo
• Isabella Suffian
• Patrick Alexander Sugrue, MD

• Mobile Radiology Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.