ADVANCED DIAGNOSTICS SC NPI 1821132127

NPI Information

NPI: 1821132127
Provider Name: ADVANCED DIAGNOSTICS, SC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2300 W. PETERSON AVENUE
CHICAGO, IL
ZIP 60659
Phone: (773) 761-9800
Get Directions

ADVANCED DIAGNOSTICS, SC is a radiology clinic center in Chicago, IL. ADVANCED DIAGNOSTICS, SC NPI is 1821132127. The provider is registered as an organization entity type.

The provider's business location address is:

2300 W. PETERSON AVENUE
CHICAGO, IL
ZIP 60659-242
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) 508-9800.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 3/11/2016.

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
1	261QR0200X	Clinic/Center	Radiology			Yes

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
1	215343	MEDICARE PIN
2	=========	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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