Provider Demographics
NPI:1730447566
Name:SOUND IMAGING INC.
Entity type:Organization
Organization Name:SOUND IMAGING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LENORE
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, ARDMS RVT
Authorized Official - Phone:773-467-0977
Mailing Address - Street 1:6970 N MCALPIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1141
Mailing Address - Country:US
Mailing Address - Phone:773-467-0977
Mailing Address - Fax:773-467-0977
Practice Address - Street 1:6970 N MCALPIN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1141
Practice Address - Country:US
Practice Address - Phone:773-467-0977
Practice Address - Fax:773-467-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL80011314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility