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ADVANTAGE MRI-CAROL STREAM LLC NPI 1265626436


NPI Information

NPI: 1265626436
Provider Name: ADVANTAGE MRI-CAROL STREAM, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
640 E SAINT CHARLES RD
SUITE 106
CAROL STREAM, IL
ZIP 60188
Phone: (630) 462-0793
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ADVANTAGE MRI-CAROL STREAM, LLC is a radiology clinic center in Carol Stream, IL. ADVANTAGE MRI-CAROL STREAM, LLC NPI is 1265626436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 E SAINT CHARLES RD
SUITE 106
CAROL STREAM, IL
ZIP 60188-083
Phone: (630) 462-0793
Fax: (630) 462-1376

The provider's authorized official is Stephanie Tucker .
The authorized official title is Director and has the following contact phone number (630) 755-4327.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 10/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
2261QR0200XClinic/CenterRadiologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.