NORTHWEST SUBURBAN MEDICAL CENTER – NPI #1215156450
Radiologic Technologist

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, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care.

NORTHWEST SUBURBAN MEDICAL CENTER is a radiologic technologist located in LAKE VILLA, IL. NPPES has assigned the NPI number 1215156450 to NORTHWEST SUBURBAN MEDICAL CENTER on April 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWEST SUBURBAN MEDICAL CENTER” is a dba name, the actual legal business name for this organization is NORTHWEST SUBURBAN URGENT CARE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2471N0900X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Nuclear Medicine Technology Radiologic Technologist

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST SUBURBAN MEDICAL CENTER below.

NPI Profile for
NORTHWEST SUBURBAN URGENT CARE

NPI Number
1215156450
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST SUBURBAN URGENT CARE
Doing Business As (dba): NORTHWEST SUBURBAN MEDICAL CENTER
Primary location
201 S. MILUAKEE AVE.
LAKE VILLA, IL 60046
Phone: (847) 356-9016 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MCMILLER
RADIOLOGIST
Phone: (847) 356-9016
Updated
Identifiers

Identifiers for NORTHWEST SUBURBAN MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDR. EJAZ RAHIM UPIN #ILC42529
OTHERDR. JOE F. JACOBS UPIN#ILD14995
OTHERDR. NIGHAT NISAR UPIN#ILH62197
OTHERDR. ROBERT MCMILLER UPIN#ILC45845
OTHERRADIOLOGY MATERIAL LIC.ILIL-01417-01
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.