ATLANTIC DIAGNOSTIC CENTER PA (NPI# 1275578114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275578114 |
| Entity Type | Organization |
| Organization Name | ATLANTIC DIAGNOSTIC CENTER PA |
| Practice Address |
14089 Collections Center Dr Chicago IL 60693-0140 |
| Practice Telephone | 9107916609 |
| Mailing Telephone | 9107916609 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | FRANCIS ANTHONY FERRARO (PRESIDENT) |
| Authorized Official Telephone | 9107916609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20123 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902901 | 05 | |
| NC | MEDICARE RR | CB3996 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255373023 | Atlantic Diagnostic Center Pa | Radiology | 14089 Collection Center Dr, Chicago, IL 60693-0140 | 2006-06-13 |
| Street Address |
14089 COLLECTIONS CENTER DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60693-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033367248 | Medical Outsourcing Services, LLC | Clinic/Center | 15477 Collection Center Dr, Chicago, IL 60693-0001 | 2008-08-29 |
| 1255373023 | Atlantic Diagnostic Center Pa | Radiology | 14089 Collection Center Dr, Chicago, IL 60693-0140 | 2006-06-13 |
| 1417054057 | Michael Louis Kerner | Radiology | 14089 Collection Center Dr, Chicago, IL 60693-0140 | 2006-09-17 |
| 1063607125 | Alliance Oncology LLC | Radiology | 15055 Collection Center Dr, Chicago, IL 60693-0150 | 2007-09-12 |
| 1871923771 | Tawanda Johnson | Nurse Practitioner | 15055 Collection Center Dr, Chicago, IL 60693-0150 | 2013-11-14 |
| 1841563822 | Helen Ngozi Okeke | Nurse Practitioner | 62171 Collection Center Dr, Chicago, IL 60693-0621 | 2012-02-21 |
| 1750686937 | Saints Mary and Elizabeth Medical Center | Internal Medicine | 62162 Collections Dr, Chicago, IL 60693-0621 | 2011-01-19 |
| 1245230309 | Robert Nathan Stein | Internal Medicine | 62647 Collection Center Dr, Chicago, IL 60693-0626 | 2005-07-29 |
| 1417992207 | Rasheed Akhtar | Internal Medicine | 62647 Collection Center Dr, Chicago, IL 60693-1225 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| Find all providers in CHICAGO | ||||
| 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.