Advantage Diagnostic Imaging Center - Chicago, Llc in Mokena - Exclusive Provider Organization
Advantage Diagnostic Imaging Center - Chicago, Llc - NPI 1386761203
Advantage Diagnostic Imaging Center - Chicago, Llc is a Exclusive Provider Organization in Mokena, Illinois. Advantage Diagnostic Imaging Center - Chicago, Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Advantage Diagnostic Imaging Center - Chicago, Llc is 1386761203. The last update date is 2020-08-22.
Advantage Diagnostic Imaging Center - Chicago, Llc's current location address is 19065 Hickory Creek Pl, Mokena, Illinois. You can contact this provider via phone number 7084786417 and fax number 7085358087. The mailing address for Advantage Diagnostic Imaging Center - Chicago, Llc is 19065 Hickory Creek Pl, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advantage Diagnostic Imaging Center - Chicago, Llc |
|---|---|
| Address | 19065 Hickory Creek Pl, Mokena, Illinois |
| Phone Number | 7084786417 |
| Fax Number | 7085358087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kolb Jim |
| Telephone Number | 7084786403 |
NPI Number Detail
| NPI Number | 1386761203 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19065 Hickory Creek Pl |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604488507 |
| Phone Number | 7084786417 |
| Fax Number | 7085358087 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the Advantage Diagnostic Imaging Center - Chicago, Llc's unique identification number?
The Advantage Diagnostic Imaging Center - Chicago, Llc has been assigned the NPI (National Provider Identifier) Number 1386761203 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Advantage Diagnostic Imaging Center - Chicago, Llc?
The Advantage Diagnostic Imaging Center - Chicago, Llc is situated at 19065 Hickory Creek Pl, in the city of Mokena, state of IL, with the zip code 604488507.
What is Advantage Diagnostic Imaging Center - Chicago, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Advantage Diagnostic Imaging Center - Chicago, Llc is Exclusive Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 302F00000X.
On what date did the Advantage Diagnostic Imaging Center - Chicago, Llc receive the assignment of its 1386761203 from the Centers for Medicare & Medicaid Services?
The Advantage Diagnostic Imaging Center - Chicago, Llc was issued its 1386761203 by the Centers for Medicare & Medicaid Services on 2007-03-24.
As of what date was the information regarding Advantage Diagnostic Imaging Center - Chicago, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Advantage Diagnostic Imaging Center - Chicago, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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