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ISLAND RADIOLOGY SC NPI 1700100245


NPI Information

NPI: 1700100245
Provider Name: ISLAND RADIOLOGY SC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1901 RAYMOND DR
SUITE 19
NORTHBROOK, IL
ZIP 60062
Phone: (847) 559-9180
Get Directions

ISLAND RADIOLOGY SC is a diagnostic radiology radiology in Northbrook, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ISLAND RADIOLOGY SC NPI is 1700100245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 RAYMOND DR
SUITE 19
NORTHBROOK, IL
ZIP 60062-720
Phone: (847) 559-9180
Fax: (847) 464-8057

The provider's authorized official is Ronald D Kunst .
The authorized official title is President and has the following contact phone number (847) 559-9180.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 4/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyILLINOISNo
22085R0202XRadiologyDiagnostic Radiology036086289ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IL3278MEDICARE PINILLINOIS
2DR2314MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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