NPIMap

Organization Active NPI

RSR Medical

  • Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1861957144
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RSR MEDICAL
Practice address
1509 N Western Ave Unit 404
Chicago, IL 60622-1747
Phone
(708) 691-3953
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Richard Rezko, MD
Title
Partner
Phone
(708) 691-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1509 N Western Ave Unit 404
Chicago, IL 60622-1747

Mailing address

1509 N Western Ave Unit 404
Chicago, IL 60622-1747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1861957144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N WESTERN AVE UNIT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N WESTERN AVE UNIT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221747",
            "telephone_number": "708-691-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "REZKO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "708-691-3953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "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 31, 2019; 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.