Organization
MIDWEST CENTER FOR ADVANCED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE A ROY (EXECUTIVE DIRECTOR)
(630) 236-8300
Entity
Organization
Contact information
Practice address
4355 MONTGOMERY RD, NAPERVILLE, IL 60564
(630) 236-8300
(630) 236-9860
Mailing address
4355 MONTGOMERY RD, NAPERVILLE, IL 60564
(630) 236-8300
(630) 236-9860
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02223011
BCBS
IL
01
—
30011047
RAILROAD MEDICARE
IL
Enumeration date
11/21/2006
Last updated
08/22/2020
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