Organization Active NPI

Ultrasound Mobile Service, LTD

  • Diagnostic Ultrasound Physician
  • Deerfield, IL
National Provider Identifier
1801975602
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
ULTRASOUND MOBILE SERVICE, LTD
Practice address
1020 Milwaukee Ave Ste 225
Deerfield, IL 60015-3555
Phone
(847) 229-8766
Fax
(312) 589-7171
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Mr. Michael SchokinNPI 1205256849
Title
President
Phone
(847) 229-8766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

1020 Milwaukee Ave Ste 225
Deerfield, IL 60015-3555

Mailing address

1020 Milwaukee Ave Ste 225
Deerfield, IL 60015-3555
Phone (847) 229-8766

Other identifiers 1

IdentifierTypeStateIssuer
4922252OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000348 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8527088277 Practice locations: Deerfield, IL

National Provider Directory

National Provider Directory

Locations

251 Milwaukee Ave
Ste 1015
Buffalo Grove, IL 60089
Phone (847) 229-8766

371 W Northwest Hwy
Palatine, IL 60067
Phone (847) 443-5588

Practitioners & affiliated clinicians

Practitioners 8

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1801975602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 225",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153555",
            "telephone_number": "847-229-8766",
            "fax_number": "312-589-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 225",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153555",
            "telephone_number": "847-229-8766",
            "fax_number": "312-589-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND MOBILE SERVICE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHOKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-229-8766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4922252",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.