ADVANTAGE IMAGING, LLC (NPI# 1790986388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790986388 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE IMAGING, LLC |
| Practice Address |
4351 N Cicero Ave Chicago IL 60641-1502 |
| Mailing Address |
3733 Park East Dr Suite 100 Beachwood OH 44122-4338 |
| Practice Telephone | 7734271222 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | JONATHAN WESTRICH (DIRECTOR) |
| Authorized Official Telephone | 8479200500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1326374729 | Advantage Imaging, LLC | Radiology | 6900 Ridge Rd @ Delivery Drive, Suite 101, Parma, OH 44129-5650 | 2009-10-20 |
| 1770941981 | Advantage Imaging, LLC | Radiology | 6400 E Broad St, Suite 110, Columbus, OH 43213-1505 | 2016-02-02 |
| 1184969560 | Advantage Imaging, LLC | Radiology | 600 State Rd, Ashtabula, OH 44004-3933 | 2012-12-11 |
| 1982918629 | Advantage Imaging, LLC | Radiology | 1430 S High St, Columbus, OH 43207-1045 | 2010-08-05 |
| 1023244464 | Advantage Imaging, LLC | Radiology | 6479 S Raccoon Rd, Canfield, OH 44406-9270 | 2009-05-29 |
| 1114164241 | Advantage Imaging, LLC | Radiology | 5183 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2009-01-12 |
| 1073758009 | Advantage Imaging, LLC | Radiology | 5445 Detroit Rd, Suite 101, Sheffield Village, OH 44054-2904 | 2008-12-04 |
| 1336359686 | Advantage Imaging, LLC | Radiology | 3733 Park East Dr, Suite 100, Beachwood, OH 44122-4338 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ADVANTAGE IMAGING, LLC | 209 Limestone Pass, Cottage Grove, WI 53527 |
| Street Address |
4351 N CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309377 | Regional Diagnostics, LLC | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2005-10-11 |
| 1669881686 | Molecular Imaging Chicago LLC | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2014-08-04 |
| 1982014064 | Mayfair Advantage Mri, Inc | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| 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 |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| Find all providers in CHICAGO | ||||
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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.