Galilee Medical Center, S.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

42618056 Issued in IL

Legal business name

GALILEE MEDICAL CENTER, S.C.

Doing business as

MRI Lincoln Imaging Center

Practice address

4941 N Kedzie Ave
Chicago, IL 60625-5009

Phone

(773) 293-0451

Fax

(773) 942-7166

NPI assigned

May 30, 2006

Last updated

Mar 5, 2019By 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. Naser Rustom, MDNPI 1154374171

Title

President

Phone

(773) 237-0755

Specialties & licenses 1

Addresses

Other names 1

• MRI Lincoln Imaging Center Doing business as

Locations

Practitioners 1

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.

• Naser Rustom, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1154374171
  Authorized official Same address or phone

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1609823038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255009",
            "telephone_number": "773-293-0451",
            "fax_number": "773-942-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255009",
            "telephone_number": "773-293-0451",
            "fax_number": "773-942-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALILEE MEDICAL CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "RUSTOM",
        "authorized_official_first_name": "NASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-237-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "42618056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Lincoln Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRI Lincoln Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Galick
• Galilee Medical Center S.C.
• Galilee Medical Center, S.C. (MRI Lincoln Imaging Center)
• Galilee Medical Center, S.C. (Galilee BioMed Lab)
• Galilee Medical Center, S.C.
• Galilee Medical Center, S.C. (MRI Lincoln Imaging Center)
• Galileo Optical Co. (Eyeland Optical)
• Galileo Optical Co. (Da Vinci Vision Boutique)
• Evelin Galindo-Hernandez
• Jenna Brianne Galindo, LSW

• 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 Mar 5, 2019; 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.