Universal Radiology LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036039380 Issued in IL

Legal business name

UNIVERSAL RADIOLOGY LTD

Practice address

326 West 64TH Street
Chicago, IL 60621

Phone

(773) 962-3900

Fax

(773) 602-3849

NPI assigned

Apr 17, 2007

Last updated

Jul 3, 2017By 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

Joseph Carre, MD

Title

President

Phone

(773) 962-3900

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Universal Radiology LTD Other name

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1497971881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 45TH ST. #519",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223742",
            "telephone_number": "773-962-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WEST 64TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60621",
            "telephone_number": "773-962-3900",
            "fax_number": "773-602-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "CARRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-962-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036039380",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036065253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039380",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Radiology LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Universal Medical & Rehabilitation Center, S.C.
• Universal Medical Care
• Universal Medical Group LTD.
• Universal Portable X-Ray Service, Inc.
• Universal Portable X-Ray Service, Inc.
• Universal Wellness Source at Lakeshore East SC (Universal Health Source)
• Universall Healing
• Universidad Popular
• University Anesthesiologists SC
• University Anesthesiologists SC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.