Active NPI
Heartland Radiology Associates LTD
- Diagnostic Radiology Physician
- West Frankfort, IL
National Provider Identifier
1952372286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9256833
- Legal business name
- HEARTLAND RADIOLOGY ASSOCIATES LTD
- Practice address
- 502 W St Louis St
West Frankfort, IL 62896-1957 - Phone
- (618) 937-4895
- Fax
- (618) 937-4916
- NPI assigned
- Jan 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline A Treschuk-Bahn, MD
- Title
- President
- Phone
- (618) 242-2317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9256833 | IL | Primary |
Addresses
Primary practice location
502 W St Louis St
West Frankfort, IL 62896-1957
Mailing address
4227 Lincolnshire Dr
Mount Vernon, IL 62864-2157
Phone (618) 242-2317
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952372286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 LINCOLNSHIRE DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642157",
"telephone_number": "618-242-2317",
"fax_number": "618-242-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W ST LOUIS ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628961957",
"telephone_number": "618-937-4895",
"fax_number": "618-937-4916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND RADIOLOGY ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRESCHUK-BAHN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-242-2317",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "9256833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.