Northern Illinois Imaging Specialists LLC

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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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.NPI 1356350581

Title

Chairman-Board of Directors

Phone

(815) 758-8671

Specialties & licenses 1

Addresses

Member of 1

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

• Dekalb Clinic Chartered

  • Internal Medicine Physician
  • Sycamore, IL
  • NPI 1447277140

  Member Of

  NPD member

Locations

Practitioners 3

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.

• William K Lee, M.D.

  • Internal Medicine Physician
  • Dekalb, IL
  • NPI 1356350581
  Authorized official Same address or phone
• Roger Haab, M.D.

  • Internal Medicine Physician
  • Sycamore, IL
  • NPI 1386653517
  NPD (past)
• Jagdish R Patel, M.D.

  • Cardiovascular Disease Physician
  • Dekalb, IL
  • NPI 1891704037
  NPD (past)

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": []
}

• Priti Nikte, MD
• Kimberly Nipp, RN
• Charles Houston Nobles, CRNA
• Northern Illinois Endodontics, LTD
• Northern Illinois Fertility SC
• Northern Illinois University (Family Center of NIU)
• Northern Illinois University (NIU Physical Therapy Clinic)
• Northern Illinois University (Speech Language Hearing Clinic)
• Northern Illinois University (Speech Language Hearing Clinic)
• Northern Illinois University (Northern Illinois University Sports Medicine)

• Nuclear Medicine Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Nuclear Medicine Physician in Illinois

• 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.