Active NPI
SNZ Diagnostics Inc
- Diagnostic Ultrasound Physician
- Chicago, IL
National Provider Identifier
1952456956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- SNZ DIAGNOSTICS INC
- Practice address
- 1544 W Chicago Ave
Chicago, IL 60622 - Phone
- (847) 778-6099
- Fax
- (847) 478-5262
- NPI assigned
- Jan 23, 2007
- 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
- Mrs. Zeba Farooqi
- Title
- President
- Phone
- (847) 778-6099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
1544 W Chicago Ave
Chicago, IL 60622
Mailing address
1419 Madison Dr
Buffalo Grove, IL 60089
Phone (847) 778-6099
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021622102 | Other | IL | BC BS |
| 036073394 | Medicaid | IL | |
| 036037986 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040731000017 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2466422811 | Practice locations: Buffalo Grove, IL |
National Provider Directory
National Provider DirectoryLocations
363 N Main St
Lowr
Wauconda, IL 60084
Phone (847) 526-2525
Practitioners & affiliated clinicians
Practitioners 6
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195776000000",
"number": "1952456956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 MADISON DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "60089",
"telephone_number": "847-778-6099",
"fax_number": "847-478-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "847-778-6099",
"fax_number": "847-478-5262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNZ DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2007-11-23",
"status": "A",
"authorized_official_last_name": "FAROOQI",
"authorized_official_first_name": "ZEBA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-778-6099",
"authorized_official_name_prefix": "Mrs."
},
"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": "BC BS",
"identifier": "0021622102",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036073394",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036037986",
"state": "IL"
}
],
"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 Nov 23, 2007; 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.