HINSDALE REGIONAL PET SCAN, LLC (NPI# 1093716722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093716722 |
| Entity Type | Organization |
| Organization Name | HINSDALE REGIONAL PET SCAN, LLC |
| Practice Address |
812 E Ogden Ave Westmont IL 60559-1246 |
| Mailing Address |
3733 Park East Dr Suite 100 Beachwood OH 44122-4338 |
| Practice Telephone | 8479200500 |
| Mailing Telephone | 2162929998 |
| Mailing Fax Number | 2162929799 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MRS. NANCY WESTRICH (MANAGING PARTER) |
| Authorized Official Telephone | 2162929998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
812 E OGDEN AVE |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376510 | Integrated Physical Therapy | Physical Therapist | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2015-05-27 |
| 1124205257 | All Star Chiropractic Ltd. | Chiropractor | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2008-01-31 |
| 1871639740 | Cherilyn Manney PC | Physical Therapist | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2007-01-29 |
| 1003952961 | Integrated Rehabilitation Centers Ltd | Chiropractor | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2007-01-29 |
| 1316954803 | Russell E Manney IIi | Chiropractor | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2006-08-01 |
| 1457366817 | Cherilyn M Manney | Physical Therapist | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420304 | Khushboo Gupta | Radiology | Rumc, 1653 W Congress Pkwy, Jelke 181, Department of Radiology and Nuclear Medicine, Chicao, IL 60612 | 2018-03-14 |
| 1427272418 | Highland Nuclear Imaging LLP | Radiology | 330 W Army Trail Rd, Suite 405, Bloomingdale, IL 60108-2681 | 2007-04-12 |
| 1437231560 | Future Diagnostics Group LLC | Radiology | 254 Republic Ave, Joliet, IL 60435-6518 | 2006-10-19 |
| 1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
| 1710988423 | Northshore Regional Pet Scan, LLC | Radiology | 1464 Waukegan Rd, Glenview, IL 60025-2121 | 2005-08-03 |
| 1396744751 | Northern Illinois Diagnostic Medical Imaging | Radiology | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2005-07-19 |
| 1306131719 | Cardiac Imaging Sc | Radiology | 1440 W North Ave, Suite 101, Melrose Park, IL 60160-1422 | 2011-06-14 |
| 1023240470 | John C Tricou Md LLC | Radiology | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2009-08-19 |
| 1902030661 | Joliet Oncology Hematology Associates Ltd | Radiology | 3825 Highland Ave, # 2l,tower 1, Downers Grove, IL 60515-1552 | 2009-05-11 |
| 1760621833 | Joliet Oncology Hematology Associates Ltd | Radiology | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2009-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.