Northwest Suburban Urgent Care in Lake Villa - Nuclear Medicine Technology

Northwest Suburban Urgent Care - NPI 1215156450

Northwest Suburban Urgent Care is a Nuclear Medicine Technology in Lake Villa, Illinois. Northwest Suburban Urgent Care practices all healthcare services and medical treatments related to Nuclear Medicine Technology. The NPI Number for Northwest Suburban Urgent Care is 1215156450. The last update date is 2018-06-21.

Northwest Suburban Urgent Care's current location address is 201 S. Miluakee Ave., Lake Villa, Illinois. You can contact this provider via phone number 8473569016. The mailing address for Northwest Suburban Urgent Care is 201 S. Miluakee Ave., Lake Villa, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Suburban Urgent Care
Address 201 S. Miluakee Ave., Lake Villa, Illinois
Phone Number 8473569016
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position RADIOLOGIS
Authorized Official Name Mcmiller Robert
Credentials M.D.
Telephone Number 8473569016

NPI Number Detail

NPI Number 1215156450
Provider Enumeration Date 2007-04-25
Last Updated Date 2018-06-21

Provider Mailing Address Detail

Address 201 S. Miluakee Ave.
City Lake Villa
State Illinois (IL)
Post Code 60046
Phone Number 8473569016
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nuclear Medicine Technology
Taxonomy 2471N0900X
Licence No IL-01417-01
Definition:
A radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, admini

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D14995 IL DR. JOE F. JACOBS UPIN#
C42529 IL DR. EJAZ RAHIM UPIN #
H62197 IL DR. NIGHAT NISAR UPIN#
C45845 IL DR. ROBERT MCMILLER UPIN#
IL-01417-01 IL RADIOLOGY MATERIAL LIC.

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FAQs about Northwest Suburban Urgent Care

What is the unique provider identifier assigned to Northwest Suburban Urgent Care?

The Northwest Suburban Urgent Care has been issued the NPI (National Provider Identifier) 1215156450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Northwest Suburban Urgent Care is physically located?

The Northwest Suburban Urgent Care is situated at the following address: 201 S. Miluakee Ave., Lake Villa, IL 60046.

What is Northwest Suburban Urgent Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Northwest Suburban Urgent Care's specialized field of practice is Nuclear Medicine Technology, and the corresponding taxonomy code that categorizes this area of specialization is 2471N0900X.

On what date was the 1215156450 assigned to Northwest Suburban Urgent Care?

The Northwest Suburban Urgent Care was issued its 1215156450 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Northwest Suburban Urgent Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Northwest Suburban Urgent Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-21.

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