# NORTHSHORE IMAGING COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689727471
- **Authorized official:** MR. MASOOD SIDDIQUI (ADMINISTRATOR)
- **Authorized official phone:** (773) 262-4432

## Contact information

- **Practice address:** 7455 N WESTERN AVE, CHICAGO, IL 60645-1735
- **Practice address phone:** (773) 262-4432
- **Practice address fax:** (773) 262-4712
- **Mailing address:** 7455 N WESTERN AVE, CHICAGO, IL 60645-1735
- **Mailing address phone:** (773) 262-4432
- **Mailing address fax:** (773) 262-4712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | Yes |
| 2471C3402X | Radiography Radiologic Technologist | — | — | Yes |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 11/30/2007