Northshore Imaging Services Inc

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

NORTHSHORE IMAGING SERVICES INC

Practice address

807 E Golfview Dr
Mt Prospect, IL 60056-4324

Phone

(847) 670-8070

NPI assigned

Oct 7, 2008

Last updated

Jan 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Noman Ahmed

Title

Ceo

Phone

(773) 750-7099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Nemours Carre, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1821090622
  NPD
• Maan Sami El Khadra, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1316946700
  NPD
• Kathleen A Ward, M.D.

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1861501728
  NPD
• Eliyazar Gaddam, MD

  • Cardiovascular Disease Physician
  • Lima, OH
  • NPI 1073561858
  NPD
• Naiyer Imam, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1992768147
  NPD
• Jay Radhakrishnan, M.D.

  • Vascular & Interventional Radiology Physician
  • The Woodlands, TX
  • NPI 1245266972
  NPD

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1801047030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E GOLFVIEW DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E GOLFVIEW DR",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564324",
            "telephone_number": "847-670-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E. Prospect Ave",
            "address_2": "suite 105",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600563331",
            "country_code": "US",
            "telephone_number": "847-670-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSHORE IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-750-7099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ninis, PTA
• Austin Daniel Nobbe
• Sian Nolan
• Donald M Norris, M.D.
• Jeffrey P Norris, M.D
• Northshore Ultrasound Services Inc
• Northwest Community Health Services Inc
• Northwest Dental Associates, LLC
• Northwest Family Clinic Inc.
• Northwestern Suburban Special Education Organization

• Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.

Verify at the official NPI Registry.