Active NPI
Roza Kostecki
- Sonography Radiologic Technologist
- Algonquin, IL
National Provider Identifier
1760657357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 92574
- Practice address
- 1550 Southridge TRL
Algonquin, IL 60102-6607 - Phone
- (847) 428-9629
- Fax
- (847) 844-3848
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 92574 | IL | Primary |
Addresses
Primary practice location
1550 Southridge TRL
Algonquin, IL 60102-6607
Mailing address
1550 Southridge TRL
Algonquin, IL 60102-6607
Phone (847) 428-9629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92574 | IL | MD | Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polsono Mobile Ultrasound, P.C. | Sonography | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Chicago, IL
- NPI 1568652428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1760657357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 SOUTHRIDGE TRL",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601026607",
"telephone_number": "847-428-9629",
"fax_number": "847-844-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 SOUTHRIDGE TRL",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601026607",
"telephone_number": "847-428-9629",
"fax_number": "847-844-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTECKI",
"first_name": "ROZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "IL",
"license": "92574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.