PARKSIDE IMAGING SC NPI 1205158201

NPI Information

  • NPI: 1205158201
  • Provider Name: PARKSIDE IMAGING SC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 400 HIGGINS RD
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 268-8900

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NPI Details

PARKSIDE IMAGING SC is a diagnostic radiology radiology in Park Ridge, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PARKSIDE IMAGING SC NPI is 1205158201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 HIGGINS RD
PARK RIDGE, IL
ZIP 60068-751
Phone: (847) 268-8900
Fax: (847) 268-8241

The provider's authorized official is Naser Rustom .
The authorized official title is President and has the following contact phone number (773) 581-5600.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 12/30/2011.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 3/30/2025

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