Active NPI
J.I. Advanced Mobile Ultrasound.LTD
- Diagnostic Ultrasound Physician
- Schiller Park, IL
National Provider Identifier
1174773543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 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 DirectoryNPI 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.