Parkside Imaging SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PARKSIDE IMAGING SC

Practice address

400 Higgins Rd
Park Ridge, IL 60068-5751

Phone

(847) 268-8900

Fax

(847) 268-8241

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Naser Rustom, M.DNPI 1154374171

Title

President

Phone

(773) 581-5600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naser Rustom, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1154374171
  NPD Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1205158201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295010",
            "telephone_number": "773-581-5600",
            "fax_number": "773-581-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685751",
            "telephone_number": "847-268-8900",
            "fax_number": "847-268-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE IMAGING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "RUSTOM",
        "authorized_official_first_name": "NASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-581-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Scott Park, D.C.
• Claire Sun Park, MD
• Eunyoung Park, D.D.S.
• Hong Andy Park, M.D.
• John J Park, M.D.
• Parkside Magnetic Resonance Center, LTD
• Parkside Obstetrics & Gynecology SC
• Parkside Pediatrics, S.C.
• Adam Joshua Parnass, M.D.
• Ethan Jordan Parnass

• Diagnostic Radiology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.