Active NPI
United Diagnostic Services, LLC
- Diagnostic Ultrasound Physician
- Chicago, IL
National Provider Identifier
1740589175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- UNITED DIAGNOSTIC SERVICES, LLC
- Practice address
- 6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820 - Phone
- (708) 424-9405
- Fax
- (708) 424-8038
- NPI assigned
- Mar 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sami Baig
- Title
- President
- Phone
- (708) 424-9405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820
Mailing address
5533 W 109TH St Ste 101
Oak Lawn, IL 60453-5058
Phone (708) 424-9405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111117000745 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2062699192 | Practice locations: Oak Lawn, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Lincoln, IL
- NPI 1649571761
2062699192
National Provider Directory
National Provider DirectoryLocations
110 S Chicago St
Lincoln, IL 62656
Phone (217) 732-1122
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Hazel Crest, IL
- NPI 1255495701
-
- Diagnostic Radiology Physician
- Elk Grove Village, IL
- NPI 1154314912
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1740219351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1740589175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5533 W 109TH ST STE 101",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535058",
"telephone_number": "708-424-9405",
"fax_number": "708-424-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 N MILWAUKEE AVE STE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463820",
"telephone_number": "708-424-9405",
"fax_number": "708-424-8038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED DIAGNOSTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-24",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "BAIG",
"authorized_official_first_name": "SAMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-424-9405"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"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 Jan 26, 2024; 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.