Provider Demographics
NPI:1801975602
Name:ULTRASOUND MOBILE SERVICE, LTD
Entity type:Organization
Organization Name:ULTRASOUND MOBILE SERVICE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-229-8766
Mailing Address - Street 1:1020 MILWAUKEE AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3555
Mailing Address - Country:US
Mailing Address - Phone:847-229-8766
Mailing Address - Fax:312-589-7171
Practice Address - Street 1:1020 MILWAUKEE AVE STE 225
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-3555
Practice Address - Country:US
Practice Address - Phone:847-229-8766
Practice Address - Fax:312-589-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4922252OtherBCBS