Organization Active NPI

Cardiac Imaging SC

  • Nuclear Radiology Physician
  • Melrose Park, IL
National Provider Identifier
1306131719
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
IL-02223-01 Issued in IL
Legal business name
CARDIAC IMAGING SC
Practice address
1440 W North Ave
Suite 101
Melrose Park, IL 60160-1422
Phone
(708) 450-5757
Fax
(708) 344-0095
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
S J Hasanain, M.D.
Title
President
Phone
(708) 450-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X IL-02223-01 IL Primary

Addresses

Primary practice location

1440 W North Ave
Suite 101
Melrose Park, IL 60160-1422

Mailing address

675 W North Ave
Suite 309
Melrose Park, IL 60160-1634
Phone (708) 450-5757

National Provider Directory

National Provider Directory

Locations

1440 W North Ave
Ste 101
Melrose Park, IL 60160
Phone (708) 450-5757

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1306131719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 309",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-450-5757",
            "fax_number": "708-344-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE",
            "address_2": "SUITE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601422",
            "telephone_number": "708-450-5757",
            "fax_number": "708-344-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC IMAGING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "HASANAIN",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-450-5757",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "IL",
            "license": "IL-02223-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.