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Contact Information

ENVISION DIAGNOSTICS INC
3000 DUNDEE RD.
SUITE 311
NORTHBROOK, IL60062
 Phone: 224-235-4821
 Fax: 847-383-6976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Radiology, Mobile

261QR0208X 45 Mammography Center
Indicates primary specialty

NPI Profile & details for ENVISION DIAGNOSTICS INC

NPI # 1710016290
LBN Legal business name ENVISION DIAGNOSTICS INC
Authorized official OLGA GREEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 02/10/2016 - About 10 years ago
Identifiers
IL License # 036074107
IL License # 036087491
IL License # 036099445
IL License # 036105010
IL License # 036108313
IL License # 036110490
IL License # 036120986
IL License # 036126885
IL Medicaid 1710016290
IL Other 2233357 BCBS
IL Other 473809353310 HUMANA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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