Healthcare Provider Details
I. General information
NPI: 1003562836
Provider Name (Legal Business Name): SOUND2U LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 N MILWAUKEE AVE STE B
WHEELING IL
60090-3071
US
IV. Provider business mailing address
325 N MILWAUKEE AVE STE B
WHEELING IL
60090-3071
US
V. Phone/Fax
- Phone: 224-434-2999
- Fax: 224-241-3335
- Phone: 224-434-2999
- Fax: 224-241-3335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNA
KAMALYAN
Title or Position: MANAGER
Credential:
Phone: 312-213-5721