Organization Active NPI

Touhy Diagnostic at Home LLC

  • Radiology Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1588923445
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TOUHY DIAGNOSTIC AT HOME LLC
Practice address
490 Lee St
Des Plaines, IL 60016-4646
Phone
(847) 803-1111
Fax
(847) 803-1114
NPI assigned
May 14, 2012
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Shaban R Darvish
Title
President
Phone
(847) 803-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

490 Lee St
Des Plaines, IL 60016-4646

Mailing address

490 Lee St
Des Plaines, IL 60016-4646
Phone (847) 803-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000259 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0446223689 1 other NPI on this enrollment
Practice locations: Des Plaines, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Touhy Diagnostic at Home LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

490 Lee St
Des Plaines, IL 60016
Phone (847) 803-1111

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1588923445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164646",
            "telephone_number": "847-803-1111",
            "fax_number": "847-803-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164646",
            "telephone_number": "847-803-1111",
            "fax_number": "847-803-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUHY DIAGNOSTIC AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-803-1111"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.