NPIMap

Organization Active NPI

Wellington Radiology Group, S.C.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1316057334
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WELLINGTON RADIOLOGY GROUP, S.C.
Practice address
836 West Wellington Ave
Chicago, IL 60657
Phone
(773) 296-7820
Fax
(773) 296-7821
NPI assigned
Aug 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
SPR Naoimpalli, MD
Title
Director
Phone
(773) 296-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

836 West Wellington Ave
Chicago, IL 60657

Mailing address

39006 Treasury Center
Chicago, IL 60694-9000
Phone (708) 460-7444

Other identifiers 1

IdentifierTypeStateIssuer
1635352OtherILBCBS

National Provider Directory

National Provider Directory

Locations

2284 County Line Rd
Algonquin, IL 60102
Phone (847) 304-3640

39006 Treasury Ctr
Chicago, IL 60694

75 Remittance Dr
Ste 5285
Chicago, IL 60675

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316057334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39006 TREASURY CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606949000",
            "telephone_number": "708-460-7444",
            "fax_number": "708-460-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 WEST WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-296-7820",
            "fax_number": "773-296-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON RADIOLOGY GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAOIMPALLI",
        "authorized_official_first_name": "SPR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-296-7820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635352",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.