1518239847 NPI number — INDUSTRIAL OPTICAL SERVICE, INC.

Table of content: ONISHA JOHNSON (NPI 1619435146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518239847 NPI number — INDUSTRIAL OPTICAL SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INDUSTRIAL OPTICAL SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPEX
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518239847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1407 N MILWAUKEE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60622-2015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-276-2020
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1407 N MILWAUKEE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60622-2015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-276-2020
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROITSTEIN
Authorized Official First Name:
CARRIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING DOCTOR
Authorized Official Telephone Number:
312-673-7192

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8825444 . This is a "MULTIPLAN" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 01636706 . This is a "BCBS" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".