Active NPI
Suburban Xray
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Medinah, IL
National Provider Identifier
1467590471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- 58494275
- Legal business name
- SUBURBAN XRAY
- Practice address
- 7 N 130 Medinah Rd
Unit a
Medinah, IL 60157 - Phone
- (630) 529-0077
- Fax
- (630) 529-0087
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 22, 2020
- 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
- Pamela A Ballard, DC
- Title
- President
- Phone
- (630) 529-0077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | 58494275 | IL | Primary |
Addresses
Primary practice location
7 N 130 Medinah Rd
Unit a
Medinah, IL 60157
Mailing address
PO Box 471
Medinah, IL 60157
Phone (630) 529-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07223234 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Suburban X-Ray LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Chiropractor
- Franklin Park, IL
- NPI 1437435807
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Rehabilitation Chiropractor
- Medinah, IL
- NPI 1457576621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467590471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "MEDINAH",
"state": "IL",
"postal_code": "60157",
"telephone_number": "630-529-0077",
"fax_number": "630-529-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N 130 MEDINAH RD",
"address_2": "UNIT A",
"city": "MEDINAH",
"state": "IL",
"postal_code": "60157",
"telephone_number": "630-529-0077",
"fax_number": "630-529-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN XRAY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-529-0077",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "IL",
"license": "58494275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07223234",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medinah, IL
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.