Ideal Health Diagnostics, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

IDEAL HEALTH DIAGNOSTICS, INC.

Practice address

145 W Dundee Rd
Buffalo Grove, IL 60089-3706

Phone

(847) 293-7704

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Svetlana Dizik

Title

President

Phone

(847) 293-7704

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Granat, DC

  • Chiropractor
  • Wheeling, IL
  • NPI 1821058751
  NPD (past)
• Perry Rudich, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1699721829
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629158605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893706",
            "telephone_number": "847-293-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893706",
            "telephone_number": "847-293-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIZIK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-293-7704"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN #",
            "identifier": "626700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01629955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lijuan Huang, DMD
• James Hudson
• Robert James Hughes, MD
• Jason Yeekwong Hui, DC, NMD
• Glori K Huse, PT
• Ih Physician Services, PC (Heartland Hospice (Northbrook))
• Illinois Bone and Joint Institute
• Illinois Bone and Joint Institute, LLC
• Illinois Bone and Joint Institute, LLC
• Illinois Healthcare Center Inc

• Radiology Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.