Mobile Medical Imaging SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036085241 Issued in IL

Legal business name

MOBILE MEDICAL IMAGING SC

Practice address

1901 Raymond Dr
Suite 19
Northbrook, IL 60062-6720

Phone

(847) 559-9150

Fax

(847) 464-8057

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Yogesh Tejpal, MD

Title

Director

Phone

(708) 226-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1871821538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-559-9150",
            "fax_number": "847-464-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RAYMOND DR",
            "address_2": "SUITE 19",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626720",
            "telephone_number": "847-559-9150",
            "fax_number": "847-464-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL IMAGING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "TEJPAL",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-226-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036085241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.