Organization Active NPI

Northern Illinois Imaging Services LTD

  • Nuclear Medicine Physician
  • New Lenox, IL
National Provider Identifier
1396924312
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
NORTHERN ILLINOIS IMAGING SERVICES LTD
Practice address
2000 Quails Roost Dr
New Lenox, IL 60451-2795
Phone
(815) 806-2200
NPI assigned
Oct 25, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Hemlata Bakane
Title
Owner
Phone
(815) 464-8896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X IL Primary

Addresses

Primary practice location

2000 Quails Roost Dr
New Lenox, IL 60451-2795

Mailing address

2000 Quails Roost Dr
New Lenox, IL 60451-2795
Phone (815) 806-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1396924312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 QUAILS ROOST DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512795",
            "telephone_number": "815-806-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 QUAILS ROOST DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512795",
            "telephone_number": "815-806-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS IMAGING SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BAKANE",
        "authorized_official_first_name": "HEMLATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-464-8896"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.