Provider Demographics
NPI:1427272418
Name:HIGHLAND NUCLEAR IMAGING LLP
Entity type:Organization
Organization Name:HIGHLAND NUCLEAR IMAGING LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-886-4280
Mailing Address - Street 1:7S415 OAK TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9564
Mailing Address - Country:US
Mailing Address - Phone:630-886-4280
Mailing Address - Fax:
Practice Address - Street 1:330 W ARMY TRAIL RD
Practice Address - Street 2:SUITE 405
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2681
Practice Address - Country:US
Practice Address - Phone:630-307-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02222512OtherBCBS IDENTIFIER
IL02222512OtherBCBS IDENTIFIER