United Providers Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

UNITED PROVIDERS INC

Doing business as

United Providers

Practice address

9325 S Thomas Ave
Bridgeview, IL 60455-2163

Phone

(630) 827-2500

Fax

(630) 242-8450

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 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

Mr. Moqueet Syed

Title

President

Phone

(630) 827-2500

Specialties & licenses 1

Addresses

Other names 1

• UNITED PROVIDERS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1639731839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 S THOMAS AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552163",
            "telephone_number": "630-827-2500",
            "fax_number": "630-242-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 S THOMAS AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552163",
            "telephone_number": "630-827-2500",
            "fax_number": "630-242-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-827-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@unitedproviders.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "9325 S Thomas Ave",
            "city": "Bridgeview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604552163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UNITED PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Suciu
• Syreeta M Crter, Licsw, LCSW, LLC (Joined in Harmony Therapeutic Services)
• John F Torphy, DDS
• Shamari Truss
• U.S. Home Physicians, S.C.
• Urgiclinic Urgent Care PLLC
• US Medgroup of Illinois PC (Advanced Medical Specialists)
• Village of Bridgeview
• Jasmine Vindel, M.H.S.
• Vital Home Medical Supply LLC

• Radiology Clinic/Center in Bridgeview, IL
• Providers in Bridgeview, 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 Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.