ADVANCED IMAGING SERVICES LLC NPI 1174006217

NPI Information

NPI: 1174006217
Provider Name: ADVANCED IMAGING SERVICES, LLC

Doing Business As: ADVANCED IMAGING SERVICES SOUTH SHORE HOSPITAL

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 356-5000
Get Directions

ADVANCED IMAGING SERVICES, LLC is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED IMAGING SERVICES, LLC NPI is 1174006217. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Imaging Services South Shore Hospital.

The provider's business location address is:

8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617-124
Phone: (773) 356-5000

The provider's authorized official is Sudheer Paruchuri .
The authorized official title is Owner and has the following contact phone number (312) 622-7622.

The enumeration date for this NPI number is 9/14/2018 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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