Active NPI
Dr. Swartz Imaging of Illinois
- Diagnostic Radiology Physician
- Niles, IL
National Provider Identifier
1609987767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DR. SWARTZ IMAGING OF ILLINOIS
- Practice address
- 8618 W Golf Rd # 8620
Niles, IL 60714-5600 - Phone
- (410) 360-2233
- Fax
- (410) 360-2234
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Maury L Rosenberg
- Title
- President
- Phone
- (410) 360-2233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
8618 W Golf Rd # 8620
Niles, IL 60714-5600
Mailing address
PO Box 768
New York, NY 10018-0025
Phone (410) 360-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001633112 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- National Medical Imaging
National Provider Directory
National Provider DirectoryLocations
8618 W Golf Rd 8620
Niles, IL 60714
Phone (410) 360-2233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1609987767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100180025",
"telephone_number": "410-360-2233",
"fax_number": "410-360-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8618 W GOLF RD # 8620",
"city": "NILES",
"state": "IL",
"postal_code": "607145600",
"telephone_number": "410-360-2233",
"fax_number": "410-360-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SWARTZ IMAGING OF ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "MAURY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-360-2233",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001633112",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "National Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.