PROVENA IMAGING SERVICES INC is a diagnostic radiology radiology in Bourbonnais, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVENA IMAGING SERVICES INC NPI is 1720197601. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Provena Health Center For Diagnostic Imaging.
The provider's business location address is:
100 PROVENA WAY SUITE 104 BOURBONNAIS, IL ZIP 60914 Phone: (815) 929-5800 Fax: (815) 929-5801
The provider's authorized official is Edward Molare . The authorized official title is President and has the following contact phone number (815) 806-2309.
The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.
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:
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: 11/21/2025
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