Active NPI
National Radiology Consultants of Illinois, LLC
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1376079236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NATIONAL RADIOLOGY CONSULTANTS OF ILLINOIS, LLC
- Practice address
- 2875 W 19TH St
Chicago, IL 60623-3501 - Phone
- (813) 920-5200
- Fax
- (813) 920-5228
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Okoh, MD
- Title
- President and Manager
- Phone
- (813) 920-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2875 W 19TH St
Chicago, IL 60623-3501
Mailing address
2540 Green Forest LN
Ste 101
Lutz, FL 33558-5388
Phone (813) 920-5200
National Provider Directory
National Provider DirectoryLocations
29248 Network Pl
Chicago, IL 60673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1376079236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 GREEN FOREST LN",
"address_2": "STE 101",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585388",
"telephone_number": "813-920-5200",
"fax_number": "813-920-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 W 19TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233501",
"telephone_number": "813-920-5200",
"fax_number": "813-920-5228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL RADIOLOGY CONSULTANTS OF ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "OKOH",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT AND MANAGER",
"authorized_official_telephone_number": "813-920-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.