Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOLECULAR IMAGING OF SUBURBAN CHICAGO, LLC
Active
Organization
MOLECULAR IMAGING OF SUBURBAN CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE TUCKER (DIRECTOR)
(630) 755-4327
Entity
Organization
Contact information
Practice address
230 EAST OGDEN AVENUE, SUITE 100, HINSDALE, IL 60521-3635
(630) 325-6300
(360) 214-2362
Mailing address
3 GRANT SQUARE, SUITE 322, HINSDALE, IL 60521-3635
(630) 325-6300
(630) 214-2362
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
0227301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232827
BLUE CROSS BLUE SHIELD
IL
01
—
21277392246
BEECH STREET
IL
01
—
7435790
AETNA
IL
01
—
ILA10
ONE CALL MEDICAL
IL
Enumeration date
05/27/2006
Last updated
11/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up