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Northwest Suburban Urgent Care
Vascular Sonography Radiologic Technologist in Lake Villa, Illinois
NPI 1215156450

Northwest Suburban Urgent Care is a Vascular Sonography Radiologic Technologist based in Lake Villa, IL and is specialized in Vascular Sonography. Northwest Suburban Urgent Care practices in Lake Villa, IL. The NPI Number for Northwest Suburban Urgent Care is 1215156450 and holds a License No. IL-01417-01 (Illinois).

The current practice location address for Northwest Suburban Urgent Care is 201 S. Miluakee Ave., Lake Villa, IL and can be reached out via phone at 847-356-9016.

Location: 201 S. Miluakee Ave., Lake Villa, IL, 60046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215156450
Provider Name
Northwest Suburban Urgent Care
Credential
Provider Entity Type
Organization
Address
201 S. Miluakee Ave., Lake Villa, IL, 60046
Phone Number
847-356-9016
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D14995 01 IL DR. JOE F. JACOBS UPIN#
C42529 01 IL DR. EJAZ RAHIM UPIN #
H62197 01 IL DR. NIGHAT NISAR UPIN#
C45845 01 IL DR. ROBERT MCMILLER UPIN#
IL-01417-01 01 IL RADIOLOGY MATERIAL LIC.
institution
Provider Business Practice Location Address Details
Address
201 S. Miluakee Ave.
City
Lake Villa
State
Illinois
Zip
60046
Phone Number
847-356-9016
Fax Number
person
Provider Business Mailing Address Details
Address
201 S. Miluakee Ave.
City
Lake Villa
State
Illinois
Zip
60046
Phone Number
847-356-9016
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Perfusionist
Speciality
-
Taxonomy
242T00000X
License No.
IL-01417-01 (Illinois)
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
IL-01417-01 (Illinois)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Nuclear Medicine Technology
Taxonomy
2471N0900X
License No.
IL-01417-01 (Illinois)
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Vascular Sonography
Taxonomy
2471V0105X
License No.
IL-01417-01 (Illinois)
Definition
Definition to come.
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