Island Radiology SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036086289 Issued in IL

Legal business name

ISLAND RADIOLOGY SC

Practice address

1901 Raymond Dr
Suite 19
Northbrook, IL 60062-6720

Phone

(847) 559-9180

Fax

(847) 464-8057

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronald D Kunst II, M.D.

Title

President

Phone

(847) 559-9180

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1700100245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-559-9180",
            "fax_number": "847-464-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-559-9180",
            "fax_number": "847-464-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND RADIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "KUNST",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-559-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036086289",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.