Organization Active NPI

Unique Medical Imaging SC

  • Diagnostic Radiology Physician
  • Lake Forest, IL
National Provider Identifier
1194724542
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UNIQUE MEDICAL IMAGING SC
Practice address
840 S Waukegan Rd
Suite 214
Lake Forest, IL 60045-2608
Phone
(847) 298-2192
NPI assigned
Jul 19, 2005
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Deepak P Dalia, M.D.NPI 1508867441
Title
President
Phone
(847) 298-2192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

840 S Waukegan Rd
Suite 214
Lake Forest, IL 60045-2608

Mailing address

920 Mount Vernon Ave
Lake Forest, IL 60045-2766
Phone (847) 298-2192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1194724542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MOUNT VERNON AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452766",
            "telephone_number": "847-298-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "SUITE 214",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608",
            "telephone_number": "847-298-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE MEDICAL IMAGING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "DALIA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-298-2192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.