VILLAPARK MEDICAL IMAGING INC NPI 1306380951

NPI Information

NPI: 1306380951
Provider Name: VILLAPARK MEDICAL IMAGING INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 14D2244316

Address:
646 N ADDISON RD
VILLA PARK, IL
ZIP 60181
Phone: (773) 774-6430
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VILLAPARK MEDICAL IMAGING INC is a radiology clinic center in Villa Park, IL. VILLAPARK MEDICAL IMAGING INC NPI is 1306380951. The provider is registered as an organization entity type.

The provider's business location address is:

646 N ADDISON RD
VILLA PARK, IL
ZIP 60181-419
Phone: (773) 774-6430
Fax: (773) 774-6405

The provider's authorized official is George Nellamattathil .
The authorized official title is President and has the following contact phone number (847) 533-9029.

The CLIA number assigned to this NPI record is 14D2244316 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 12/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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