NPIMap

Organization Active NPI

Waukegan Illinois Hospital Company, LLC

  • Diagnostic Radiology Physician
  • Lindenhurst, IL
National Provider Identifier
1609957992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WAUKEGAN ILLINOIS HOSPITAL COMPANY, LLC
Practice address
1050 Red Oak LN
Lindenhurst, IL 60046-4998
Phone
(847) 360-1674
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J. Patrick Wright
Title
Director
Phone
(615) 465-7000

Specialties & licenses 1

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

Addresses

Primary practice location

1050 Red Oak LN
Lindenhurst, IL 60046-4998

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Other names 1

  • Lindenhurst Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

122 Ambrogio Dr
Ste A
Gurnee, IL 60031
Phone (847) 599-9770

60 S Greenleaf St
Gurnee, IL 60031
Phone (708) 360-1674

Practitioners & affiliated clinicians

Practitioners 4

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609957992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RED OAK LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464998",
            "telephone_number": "847-360-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindenhurst Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindenhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.