Huntley Radiology, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

HUNTLEY RADIOLOGY, LLC

Practice address

12396 Princeton Dr
Huntley, IL 60142-7655

Phone

(847) 659-1377

Fax

(847) 659-1380

NPI assigned

May 27, 2006

Last updated

Jan 12, 2012By 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

Mr. George Nellamattathil

Title

Director

Phone

(847) 659-1377

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1609823442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7389",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600707389",
            "telephone_number": "847-870-3600",
            "fax_number": "847-870-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 PRINCETON DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427655",
            "telephone_number": "847-659-1377",
            "fax_number": "847-659-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLEY RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "NELLAMATTATHIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-659-1377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntley Chiropractic & Massage Therapy
• Huntley Consolidated School District No. 158
• Huntley Eye Care, PLLC
• Huntley Fire Protection District
• Huntley Physical Therapy Inc
• Huntley Smiles PLLC (Smiles by Farr)
• Hue Huynh
• Mehnaz Imran, M.D.
• Sue Jackson
• Benas Jakubauskas, DMD

• Radiology Clinic/Center in Huntley, IL
• Providers in Huntley, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.