Active NPI
Diagnostics, Inc
- Durable Medical Equipment & Medical Supplies
- Oak Forest, IL
National Provider Identifier
1427000355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIAGNOSTICS, INC
- Practice address
- 17047 Thackery St
Oak Forest, IL 60452-4453 - Phone
- (708) 560-7316
- Fax
- (708) 560-7346
- NPI assigned
- May 17, 2006
- 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
- Mr. Drew Edward Roskos, R.R.T.
- Title
- Owner/President
- Phone
- (708) 560-7316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Primary |
Addresses
Primary practice location
17047 Thackery St
Oak Forest, IL 60452-4453
Mailing address
17047 Thackery St
Oak Forest, IL 60452-4453
Phone (708) 560-7316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670467 | Other | IL | BLUE CROSS/BLUE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427000355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17047 THACKERY ST",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524453",
"telephone_number": "708-560-7316",
"fax_number": "708-560-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17047 THACKERY ST",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524453",
"telephone_number": "708-560-7316",
"fax_number": "708-560-7346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSKOS",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "708-560-7316",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.R.T."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE",
"identifier": "1670467",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
- Dental Smiles of Oak Forest PC
- Beena Patel Deshmukh, DDS MSD
- Marilyn Catherine Deutmeyer, M.S. CCC-SLP/L
- Louella Beth Devries, L.C.P.C.
- Michael John Devries, PH.D.
- Amanda N Dibenedetto, RBT
- Dorothea S. Diguido, M.S., CTRS
- Dominion Care Network LLC
- Michael William Donahue, DDS PC
- Frank A. Donatello, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.