Healthcare Provider Details

I. General information

NPI: 1205755048
Provider Name (Legal Business Name): SONOGO IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3275 KIRCHOFF RD
ROLLING MEADOWS IL
60008-1868
US

IV. Provider business mailing address

3275 KIRCHOFF RD APT 131
ROLLING MEADOWS IL
60008-1875
US

V. Phone/Fax

Practice location:
  • Phone: 347-606-0493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YERBOL AVDAVLETOV
Title or Position: PRESIDENT
Credential:
Phone: 347-606-0493