NPIMap

Organization Active NPI

Prospect Imaging Center, LLC

  • Radiology Clinic/Center
  • Mount Prospect, IL
National Provider Identifier
1730304940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PROSPECT IMAGING CENTER, LLC
Practice address
431 Lakeview Court
Suite C
Mount Prospect, IL 60056
Phone
(847) 296-5366
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Parvez Shirazi, MD
Title
President
Phone
(847) 296-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

431 Lakeview Court
Suite C
Mount Prospect, IL 60056

Mailing address

431 Lakeview Court
Suite C
Mount Prospect, IL 60056
Phone (847) 296-5366

National Provider Directory

National Provider Directory

Locations

431 Lakeview Ct
Ste C
Mt Prospect, IL 60056
Phone (847) 296-5366

Practitioners & affiliated clinicians

Practitioners 2

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730304940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW COURT",
            "address_2": "SUITE C",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-296-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW COURT",
            "address_2": "SUITE C",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-296-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-296-5366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.