NPIMap

Organization Active NPI

Northern Illinois Imaging Specialists LLC

  • Nuclear Medicine Physician
  • Dekalb, IL
National Provider Identifier
1487680765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
NORTHERN ILLINOIS IMAGING SPECIALISTS LLC
Practice address
217 Franklin St
Dekalb, IL 60115-3742
Phone
(815) 758-8671
Fax
(815) 758-1731
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William K Lee, M.D.
Title
Chairman-Board of Directors
Phone
(815) 758-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207U00000X Primary

Addresses

Primary practice location

217 Franklin St
Dekalb, IL 60115-3742

Mailing address

PO Box 665
Dekalb, IL 60115-0665
Phone (815) 758-8671

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

217 Franklin St
DeKalb, IL 60115
Phone (815) 758-8671

1850 Gateway Dr
Ste B
Sycamore, IL 60178
Phone (815) 758-8671

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487680765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601150665",
            "telephone_number": "815-758-8671",
            "fax_number": "815-758-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153742",
            "telephone_number": "815-758-8671",
            "fax_number": "815-758-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS IMAGING SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHAIRMAN-BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "815-758-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, 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.

Verify at the official NPI Registry.