SMG BILLING LLC NPI 1316351232

NPI Information

  • NPI: 1316351232
  • Provider Name: SMG BILLING, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Doing Business As: MEDICAL DISTRICT VASCULAR CENTER
  • CLIA Number: 14D2099338
  • Address: 1105 S. WESTERN AVE.
    CHICAGO, IL
    ZIP 60612
  • Phone: (847) 929-5460

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NPI Details

SMG BILLING, LLC is a vascular and interventional radiology radiology in Chicago, IL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. SMG BILLING, LLC NPI is 1316351232. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical District Vascular Center.

The provider's business location address is:

1105 S. WESTERN AVE.
CHICAGO, IL
ZIP 60612
Phone: (847) 929-5460
Fax: (847) 929-5461

The provider's authorized official is Charles Weis .
The authorized official title is Executive Vice President And Cfo and has the following contact phone number (773) 257-6642.

The CLIA number assigned to this NPI record is 14D2099338 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 6/18/2014.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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