Imed Glenview LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMED GLENVIEW LLC

Practice address

1247 Milwaukee Ave
Glenview, IL 60025-2464

Phone

(847) 962-3207

Fax

(847) 835-3058

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Gorodetsky, MDNPI 1073541108

Title

Co-Owner

Phone

(847) 962-3207

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Gorodetsky, MD

  • Body Imaging Physician
  • Chicago, IL
  • NPI 1073541108
  NPD Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1912199548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252464",
            "telephone_number": "847-962-3207",
            "fax_number": "847-835-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252464",
            "telephone_number": "847-962-3207",
            "fax_number": "847-835-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED GLENVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "GORODETSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-962-3207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Illinois Multi-Med SC
• Illinois Therapy Staffing LTD
• Illinois Vein Specialists-Glenview S.C.
• Immense Wellness and Med Spa
• Rachel Stark Inch, LCSW
• Independent Living Home Care, Inc
• Industrial Optical Service, Inc
• Eric Infante, PT

• Family Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.