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General NPI Number Information
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NPI Number | 1205755048
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Entity Type | Organization
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Legal Business Name | SONOGO IMAGING LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 3275 KIRCHOFF RD
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1868
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Country | US
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Telephone | 347-606-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 KIRCHOFF RD APT 131
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1875
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YERBOL AVDAVLETOV
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Credential |
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Telephone | 347-606-0493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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