NPIMap

Organization Active NPI

Medstar Diagnostic Services Incorporated

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1952792996
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDSTAR DIAGNOSTIC SERVICES INCORPORATED
Practice address
6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone
(773) 396-9655
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Munawar Kamal
Title
President
Phone
(773) 396-9655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283

Mailing address

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone (773) 396-9655

National Provider Directory

National Provider Directory
Tax ID family
Medstar Diagnostic Services Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6374 N Lincoln Ave
Ste 310
Chicago, IL 60659
Phone (773) 463-3430

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1952792996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-396-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-396-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR DIAGNOSTIC SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-396-9655"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Nov 2, 2018; 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.