Organization Active NPI

Dinovo Medical Management

  • Diagnostic Radiology Physician
  • Highland Park, IL
National Provider Identifier
1548027162
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DINOVO MEDICAL MANAGEMENT
Practice address
64 Sheldon LN
Highland Park, IL 60035-5132
Phone
(773) 682-7661
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dmitry Novoseletsky
Title
Owner
Phone
(773) 682-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

64 Sheldon LN
Highland Park, IL 60035-5132

Mailing address

64 Sheldon LN
Highland Park, IL 60035-5132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1548027162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHELDON LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SHELDON LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355132",
            "telephone_number": "773-682-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINOVO MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "NOVOSELETSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-682-7661"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.