Healthcare Provider Details

I. General information

NPI: 1801975602
Provider Name (Legal Business Name): ULTRASOUND MOBILE SERVICE, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 MILWAUKEE AVE STE 225
DEERFIELD IL
60015-3555
US

IV. Provider business mailing address

1020 MILWAUKEE AVE STE 225
DEERFIELD IL
60015-3555
US

V. Phone/Fax

Practice location:
  • Phone: 847-229-8766
  • Fax: 312-589-7171
Mailing address:
  • Phone: 847-229-8766
  • Fax: 312-589-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL SCHOKIN
Title or Position: PRESIDENT
Credential:
Phone: 847-229-8766