Villapark Medical Imaging Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

VILLAPARK MEDICAL IMAGING INC

Practice address

646 N Addison Rd
Villa Park, IL 60181-1419

Phone

(773) 774-6430

Fax

(773) 774-6405

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. George Nellamattathil

Title

President

Phone

(847) 533-9029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1306380951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "773-774-6430",
            "fax_number": "773-774-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "773-774-6430",
            "fax_number": "773-774-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAPARK MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "NELLAMATTATHIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-533-9029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villa Park Chiropractic Center, LTD.
• Villa Park Home Dialysis LLC
• Villa Park Pharmacy Inc
• Villa Park School District 45
• Village of Villa Park Office of the Treasurer
• Villaz Dental PC
• Mansoor Virani, DPM
• Vna Health Care
• Alyson Nicole Wagner, PT, DPT, MS
• Wal-Mart Stores, Inc

• Radiology Clinic/Center in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.