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General NPI Number Information
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NPI Number | 1083637417
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Entity Type | Organization
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Legal Business Name | HIAS DIAGNOSTICS INC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 4160 IL ROUTE 83 STE 204-B
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City | LONG GROVE
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State | IL
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Zip | 60047-8034
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Country | US
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Telephone | 312-972-7777
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Fax | 847-972-1867
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Provider Business Mailing Address
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Address Line | 4160 IL ROUTE 83 STE 204-B
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City | LONG GROVE
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State | IL
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Zip | 60047-8034
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Country | US
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Telephone | 312-972-7777
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Fax | 847-972-1867
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHAEL SCHOKIN
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Credential |
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Telephone | 312-972-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 036063273
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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