VILLAGE IMAGAING PROFESSIONAL LLC NPI 1083712434

Radiology (Body Imaging) in Chicago, IL

NPI 1083712434 Organization Radiology Body Imaging

About VILLAGE IMAGAING PROFESSIONAL LLC

Village Imagaing Professional Llc is a provider established in Chicago, Illinois specializing in radiology (body imaging) . The NPI number of Village Imagaing Professional Llc is 1083712434 and was assigned on September 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Village Imagaing Professional Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John Connolly M.d. (Chariman)

NPI

1083712434

Provider NameVILLAGE IMAGAING PROFESSIONAL LLC
Provider Location Address2233 W DIVISION ST CHICAGO, IL 60622
Provider Mailing Address2233 W DIVISION ST CHICAGO, IL 60622
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-20-2006
Last Update Date10-18-2010


Primary Taxonomy

Taxonomy Code2085B0100X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationBody Imaging
Taxonomy DescriptionA Radiology doctor of Osteopathy that specializes in Body Imaging.

Business Address

VILLAGE IMAGAING PROFESSIONAL LLC
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (312) 770-3990

Get Directions


Mailing Address

VILLAGE IMAGAING PROFESSIONAL LLC
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (312) 770-3990



Authorized Official

Authorized Official Name JOHN CONNOLLY M.D.
Authorized Official TitleCHARIMAN
Authorized Official Phone(312) 770-3990

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyNo

Taxonomy Description: a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

22085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyNo

Taxonomy Description: a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

32085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyNo

Taxonomy Description: a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

42085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyNo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

52085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyNo

Taxonomy Description: Not Available

62085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyNo

Taxonomy Description: a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

72085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundNo

Taxonomy Description: a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
210496MEDICARE ID-TYPE UNSPECIFIED (04)ID

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801895263MARUTI BHORADE, M.D.
Organization
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(630) 770-2172
1083616650 HONG CHAN AN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1437151057DIVISION ANESTHESIA GROUP PC
Organization
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1477555910 MICHAEL L. TAM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1417959909 SESHADRI SADAGOPAN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1073515581 KEVIN Y. LAU M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1962404442 DANIEL W. BORVAN CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1992707483 EUN KYUNG KIM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1710989207 PHAIBUL KOSAPHANDHU M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1760484257 LONG K. HAN M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1215987508DR. JOHN E CONNOLLY M.D.
Individual
Radiology (Diagnostic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990
1669422630DR. TODD R BRACK D.O.
Individual
Radiology (Diagnostic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2181
1861447542TUMOR TREATMENT LTD.
Organization
Radiology (Therapeutic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2068
1992741896 AURORITA ESTUR LARIOSA MD
Individual
Pediatrics2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1174555916 LEON JAY FRAZIN M.D.
Individual
Internal Medicine (Cardiovascular Disease)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2438
1942224068 MYUNG H. LEE CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPT.
CHICAGO, IL 60622
(312) 770-2000
1205844180 EDWARD COHEN MD
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1790898518 MARUTI S. BHORADE M.D.
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL
CHICAGO, IL 60622
(312) 770-2172
1427156009DR. SATYAVATHI ANNE M.D.
Individual
Radiology (Body Imaging)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.