ADVANCED IMAGING OF DEERFIELD LLC NPI 1629033469

NPI Information

  • NPI: 1629033469
  • Provider Name: ADVANCED IMAGING OF DEERFIELD, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: OPEN ADVANCED MRI OF DEERFIELD, LLC
  • Address: 2101 WAUKEGAN RD
    SUITE 108
    BANNOCKBURN, IL
    ZIP 60015
  • Phone: (847) 374-8100

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NPI Details

ADVANCED IMAGING OF DEERFIELD, LLC is a diagnostic radiology radiology in Bannockburn, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED IMAGING OF DEERFIELD, LLC NPI is 1629033469. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Advanced Mri Of Deerfield, Llc.

The provider's business location address is:

2101 WAUKEGAN RD
SUITE 108
BANNOCKBURN, IL
ZIP 60015-836
Phone: (847) 374-8100
Fax: (847) 374-8125

The provider's authorized official is Mary Pat Houlihan .
The authorized official title is Director and has the following contact phone number (847) 374-8100.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 8/22/2020.

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 RadiologyILLINOISYes

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
104932007OTHERILLINOISBLUE SHIELD
2CK4071OTHERILLINOISRAILROAD MEDICARE

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: 3/30/2025

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