ADVANCED DIAGNOSTICS PROFESSIONAL SERVICES SC NPI 1770769390

NPI Information

  • NPI: 1770769390
  • Provider Name: ADVANCED DIAGNOSTICS PROFESSIONAL SERVICES, SC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2307494
  • Address: 2300 W PETERSON AVE
    CHICAGO, IL
    ZIP 60659
  • Phone: (773) 761-9800

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NPI Details

ADVANCED DIAGNOSTICS PROFESSIONAL SERVICES, SC 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 DIAGNOSTICS PROFESSIONAL SERVICES, SC NPI is 1770769390. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2300 W PETERSON AVE
CHICAGO, IL
ZIP 60659-203
Phone: (773) 761-9800
Fax: (773) 764-3129

The provider's authorized official is Aref Senno .
The authorized official title is Owner and has the following contact phone number (773) 761-9800.

The CLIA number assigned to this NPI record is 14D2307494 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.

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
12085B0100XRadiologyBody ImagingNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundNo
42085R0202XRadiologyDiagnostic 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: 11/21/2025

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