HUNTLEY RADIOLOGY LLC NPI 1609823442

NPI Information

NPI: 1609823442
Provider Name: HUNTLEY RADIOLOGY, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
12396 PRINCETON DR
HUNTLEY, IL
ZIP 60142
Phone: (847) 659-1377
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HUNTLEY RADIOLOGY, LLC is a radiology clinic center in Huntley, IL. HUNTLEY RADIOLOGY, LLC NPI is 1609823442. The provider is registered as an organization entity type.

The provider's business location address is:

12396 PRINCETON DR
HUNTLEY, IL
ZIP 60142-655
Phone: (847) 659-1377
Fax: (847) 659-1380

The provider's authorized official is George Nellamattathil .
The authorized official title is Director and has the following contact phone number (847) 659-1377.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/12/2012.

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	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			No
2	261QR0200X	Clinic/Center	Radiology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	ILLINOIS	TAX ID NUMBER

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

NPI Synchronization or Removal

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