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METROPOLITAN DIAGNOSTIC IMAGING INC NPI 1861403172


NPI Information

NPI: 1861403172
Provider Name: METROPOLITAN DIAGNOSTIC IMAGING INC

Doing Business As: ADVANCED MEDICAL IMAGING CENTER

Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
111 N WABASH AVE
SUITE 620
CHICAGO, IL
ZIP 60602
Phone: (312) 807-3555
Get Directions

METROPOLITAN DIAGNOSTIC IMAGING INC is a neuroradiology radiology in Chicago, IL. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. METROPOLITAN DIAGNOSTIC IMAGING INC NPI is 1861403172. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Medical Imaging Center.

The provider's business location address is:

111 N WABASH AVE
SUITE 620
CHICAGO, IL
ZIP 60602-903
Phone: (312) 807-3555
Fax: (312) 807-3922

The provider's authorized official is Joel E Leland .
The authorized official title is President Medical Director and has the following contact phone number (312) 807-3555.

The enumeration date for this NPI number is 8/11/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology1272106ILLINOISYes
22085R0202XRadiologyDiagnostic Radiology1272106ILLINOISX
32085U0001XRadiologyDiagnostic Ultrasound1272106ILLINOISX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121621866OTHERILLINOISBLUE CROSS BLUE SHEILD

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: 4/28/2024

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