MOLECULAR IMAGING CHICAGO LLC


Address: 230 E Ogden Ave Ste 100, Hinsdale, IL 60521-2460
Phone: 6303256300

MOLECULAR IMAGING CHICAGO LLC (NPI# 1306138920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306138920
Entity Type Organization
Organization Name MOLECULAR IMAGING CHICAGO LLC
Other Organization Name NATIONAL IMAGING
Practice Address 230 E Ogden Ave Ste 100
Hinsdale
IL 60521-2460
Mailing Address 2625 Butterfield Rd Ste 105s
Oak Brook
IL 60523-1294
Practice Telephone 6303256300
Practice Fax Number 6302142362
Mailing Telephone 6307554325
Mailing Fax Number 6308198153
Enumeration Date 2011-05-16
Last Update Date 2019-01-17
Authorized Official Name MS. STEPHANIE TUCKER (DIRECTOR)
Authorized Official Telephone 6307554327
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
IL Ambulatory Health Care Facilities
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
IL Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
National Imaging Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
14315 108th Ave, Suite 122, Orland Park, IL 60467 7084281910 7084281909
1732 W Algonquin Rd, Arlington Heights, IL 600053405 8473852601 8473852602
215 Remington Blvd Ste J, Bolingbrook, IL 604403666 6307719950 6307719956
640 E Saint Charles Rd Ste 106, Carol Stream, IL 601882600 6304680793 6304621376
4351 N Cicero Ave, Chicago, IL 606411502 7734271222 7734271333
16137 La Salle St, South Holland, IL 604732064 7085965555 7085965565
199 S Addison Rd Ste 107b, Wood Dale, IL 601911978 6306946300 6306946304

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457738155 Molecular Imaging Chicago LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4932 W 95th St, Oak Lawn, IL 60453-2504 2015-05-01
1053798751 Molecular Imaging Chicago LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 14315 108th Ave, Suite 122, Orland Park, IL 60467-1006 2015-05-01
1669881686 Molecular Imaging Chicago LLC Clinic/Center 4351 N Cicero Ave, Chicago, IL 60641-1502 2014-08-04

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities MOLECULAR IMAGING CHICAGO LLC 3 Grant Sq #322, Hinsdale, Illinois 60521

Office Location

Street Address 230 E OGDEN AVE STE 100
City HINSDALE
State IL
Zip Code 60521-2460

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386256170 Infinity Yoga LLC Counselor 702 Mills St, Hinsdale, IL 60521 2020-08-21
1427696855 Anne Didier Nurse Practitioner 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 2019-12-16
1619469244 Rush Oak Brook Surgery Center, LLC Clinic/Center 2011 York Road, Suite 3000, Oak Brook, IL 60521 2018-05-30
1639680275 Kelly M Lyell Psychologist 950 S Oak St, Hinsdale, IL 60521 2017-10-23
1386169720 Elizabeth Ann Thorsness Counselor 412 East Fourth St., Hinsdale, IL 60521 2017-08-07
1275057424 Bryndal Nicole Chervinko Audiologist 908 North Elm Street, Suite 306, Hinsdale, IL 60521 2017-07-31
1972038990 Carolyn M Ball Counselor 19 N Grant St Ste 2c, Hinsdale, IL 60521 2017-04-27
1710429964 Smiling Star Speech & Language Speech-Language Pathologist 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 2016-11-04
1972964773 Sharon Grob Murphy Psychologist 728 S. Park Ave., Hinsdale, IL 60521 2016-03-08
1992187074 Matthew Destefani Emergency Medicine 109 Symonds Dr # 578, Hinsdale, IL 60521 2015-06-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225013246 Jonathan P. Nolan Radiology 40 S Clay St # Ll10, Hinsdale, IL 60521-3257 2005-12-13
1063496800 Kenneth H Segel Radiology 107 Minneola St, Hinsdale, IL 60521-3513 2005-12-05
1336370824 Neda Saleh Haswah Radiology 120 N Oak St, Department of Radiology, Hinsdale, IL 60521-3829 2009-07-31
1821237546 Radiology and Nuclear Associates Sc Radiology 5601 S County Line Rd, Hinsdale, IL 60521-4875 2009-02-19
1275799876 George Behrens Radiology 911 N Elm St, Ste 128, Hinsdale, IL 60521-3634 2008-08-03
1164601415 Chandarana Medical Associates S.c. Radiology 5601 S County Line Rd, Hinsdale, IL 60521-4875 2007-11-02
1992896732 Daniel R Schmelka Radiology 911 N Elm St, 128, Hinsdale, IL 60521-3634 2006-09-27
1871516567 Frank Steven Davis Radiology 120 N Oak St, Hinsdale, IL 60521-3829 2006-07-25
1306869946 Daniel Justus Radiology 120 N Oak St, Hinsdale, IL 60521-3829 2006-07-25
1720001415 David Allen Cook Radiology 120 N Oak St, Hinsdale, IL 60521-3829 2006-07-25
Find all providers in HINSDALE

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City HINSDALE
Zip Code 60521

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Dataset Information

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.

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