Organization Active NPI

Northshore Imaging Company

  • Radiography Radiologic Technologist
  • Chicago, IL
National Provider Identifier
1689727471
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
Legal business name
NORTHSHORE IMAGING COMPANY
Practice address
7455 N Western Ave
Chicago, IL 60645-1735
Phone
(773) 262-4432
Fax
(773) 262-4712
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Masood Siddiqui
Title
Administrator
Phone
(773) 262-4432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X

Addresses

Primary practice location

7455 N Western Ave
Chicago, IL 60645-1735

Mailing address

7455 N Western Ave
Chicago, IL 60645-1735
Phone (773) 262-4432

National Provider Directory

National Provider Directory

Locations

1768 W Devon Ave
Chicago, IL 60660
Phone (773) 274-4060

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1689727471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451735",
            "telephone_number": "773-262-4432",
            "fax_number": "773-262-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451735",
            "telephone_number": "773-262-4432",
            "fax_number": "773-262-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE IMAGING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-262-4432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.