Organization Active NPI

Northwest Medical Imaging

  • Radiologic Technologist
  • Chicago, IL
National Provider Identifier
1770675498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
NORTHWEST MEDICAL IMAGING
Practice address
2333 N Harlem Ave
Chicago, IL 60707-2718
Phone
(773) 637-1700
NPI assigned
Sep 29, 2006
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
Dr. Severko Hrywnak, MD DPM
Title
President
Phone
(773) 637-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X IL Primary

Addresses

Primary practice location

2333 N Harlem Ave
Chicago, IL 60707-2718

Mailing address

2333 N Harlem Ave
Chicago, IL 60707-2718
Phone (773) 637-1700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770675498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072718",
            "telephone_number": "773-637-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072718",
            "telephone_number": "773-637-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HRYWNAK",
        "authorized_official_first_name": "SEVERKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-637-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DPM"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "IL",
            "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 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.