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ADVANTAGE MRI LLC NPI 1376518167


NPI Information

NPI: 1376518167
Provider Name: ADVANTAGE MRI, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
16137 LASALLE STREET
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 596-5555
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ADVANTAGE MRI, LLC is a diagnostic radiology radiology in South Holland, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANTAGE MRI, LLC NPI is 1376518167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16137 LASALLE STREET
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 596-5555
Fax: (708) 596-5565

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 2/23/2006 and was last updated on 11/8/2016.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 5/5/2024

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