Organization Active NPI

J.I. Advanced Mobile Ultrasound.LTD

  • Diagnostic Ultrasound Physician
  • Schiller Park, IL
National Provider Identifier
1174773543
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
J.I. ADVANCED MOBILE ULTRASOUND.LTD
Practice address
9770 Ivanhoe Ave
Schiller Park, IL 60176-2417
Phone
(773) 414-9560
Fax
(847) 233-0697
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Mr. Joro Iordanov
Title
Owner
Phone
(773) 414-9560

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

9770 Ivanhoe Ave
Schiller Park, IL 60176-2417

Mailing address

9770 Ivanhoe Ave
Schiller Park, IL 60176-2417
Phone (773) 414-9560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1174773543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 IVANHOE AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762417",
            "telephone_number": "773-414-9560",
            "fax_number": "847-233-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 IVANHOE AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762417",
            "telephone_number": "773-414-9560",
            "fax_number": "847-233-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.I. ADVANCED MOBILE ULTRASOUND.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "IORDANOV",
        "authorized_official_first_name": "JORO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-414-9560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schiller Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.