METROPOLITAN DIAGNOSTIC IMAGING (NPI# 1518131606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518131606 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN DIAGNOSTIC IMAGING |
| Other Organization Name | AMIC MERRIONETTE PARK |
| Practice Address |
11600 S Kedzie Ave Merrionette Park IL 60803-6302 |
| Mailing Address |
111 N Wabash Ave Ste 620 Chicago IL 60602-1914 |
| Practice Telephone | 7083773730 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. MICHELLE SMITH (ACCT RECEIVABLE) |
| Authorized Official Telephone | 3128073550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 21621866 | 01 |
| Other Name | Type Code |
|---|---|
| AMIC Merrionette Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669483988 | Metropolitan Diagnostic Imaging | Radiology | 1332 E 47th St, Chicago, IL 60653-4508 | 2006-08-11 |
| Street Address |
11600 S KEDZIE AVE |
| City | MERRIONETTE PARK |
| State | IL |
| Zip Code | 60803-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809674 | Mri Associates of Illinois Sc | Radiology | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6302 | 2005-08-29 |
| 1558996090 | Lauren Ellis | Nurse Practitioner | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2020-03-05 |
| 1396249520 | Jenny Rosillo Macaso | Pharmacist | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2018-03-21 |
| 1598270522 | Garden Family Pharmacy Inc | Pharmacy | 11600 S Kedzie Ave, Suite E, Merrionette Park, IL 60803-6307 | 2017-12-13 |
| 1952849754 | Amy Gill | Nurse Practitioner | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2017-02-01 |
| 1750631727 | Erin Dana Drever | Internal Medicine | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-09-17 |
| 1194086280 | Industrial Physical Therapy, Inc | Clinic/Center | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-06-05 |
| 1710252465 | Sarwat Shaheen | Family Medicine | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-03-14 |
| 1447582796 | Neighborhood Pharmacy Inc | Pharmacy | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2010-02-10 |
| 1902130263 | James & Huddleston Center for Pain, S.c. | Clinic/Center | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2009-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809674 | Mri Associates of Illinois Sc | Radiology | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6302 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | MERRIONETTE PARK |
| Zip Code | 60803 |
Please comment or provide details below to improve the information on METROPOLITAN DIAGNOSTIC IMAGING.
| 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.