Organization Active NPI

Polsono Mobile Ultrasound, P.C.

  • Sonography Radiologic Technologist
  • Chicago, IL
National Provider Identifier
1568652428
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
POLSONO MOBILE ULTRASOUND, P.C.
Practice address
1030 N State St Apt 17H
Chicago, IL 60610-5492
Phone
(847) 428-9629
Fax
(630) 423-9549
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joyce Marie Bowen
Title
President
Phone
(847) 428-9629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

1030 N State St Apt 17H
Chicago, IL 60610-5492

Mailing address

1030 N State St Apt 17H
Chicago, IL 60610-5492
Phone (847) 428-9629

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568652428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N STATE ST APT 17H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105492",
            "telephone_number": "847-428-9629",
            "fax_number": "630-423-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N STATE ST APT 17H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105492",
            "telephone_number": "847-428-9629",
            "fax_number": "630-423-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLSONO MOBILE ULTRASOUND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-428-9629"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.