OrganizationActive
Division Medical & Diagnostics Inc
NPI 1013012681 · Sonography Radiologic Technologist · Chicago, IL
Provider details
- NPI number
- 1013012681
- Entity type
- Organization
- Primary specialty
- Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Raghu Nayak, President(630) 986-1240
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4913 W Fullerton Ave
Chicago, IL 60639-2505
Phone: (773) 637-2000
Fax: (773) 367-2006
Approximate (ZIP-level) locationGet directions
Mailing address
4913 W Fullerton Ave
Chicago, IL 60639-2505
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.