NORTHERN ILLINOIS DIAGNOSTIC MEDICAL IMAGING (NPI# 1396744751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396744751 |
| Entity Type | Organization |
| Organization Name | NORTHERN ILLINOIS DIAGNOSTIC MEDICAL IMAGING |
| Other Organization Name | ORLAND MEDICAL IMAGING, INC. |
| Practice Address |
200 Berteau Ave Elmhurst IL 60126-2966 |
| Mailing Address |
520 E 22nd St Lombard IL 60148-6110 |
| Practice Telephone | 6308331400 |
| Mailing Telephone | 6308742542 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | ROBERT L PEISS (CHAIRMAN) |
| Authorized Official Telephone | 6308331400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orland Medical Imaging, Inc. | Doing Business As Name - Organization |
| Street Address |
200 BERTEAU AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326140369 | Mahin Hamidi | Anesthesiology | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-09-01 |
| 1942238589 | Richard De Angelo | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-30 |
| 1811925787 | Jennifer Owens | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-29 |
| 1477581650 | Matthew V. Pisano | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-28 |
| 1942237706 | Akram Kareem | Anesthesiology | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-27 |
| 1639106404 | Christine Kassa | Anesthesiology | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-27 |
| 1245266675 | Michelle Meziere | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-25 |
| 1740216480 | Robin Mraz | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-24 |
| 1972539682 | Austen-kum Chai | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-24 |
| 1215963798 | Justin R. Macariola-coad | Emergency Medicine | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of 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 |
|---|---|---|---|---|
| 1699787473 | Allan Gerard Goldman | Radiology | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-08-12 |
| 1194737163 | Shlomo Topchik | Radiology | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-08-11 |
| 1972505741 | Robert L. Peiss | Radiology | 200 Berteau Ave, Elmhurst Memorial Hospital / Radiology Department, Elmhurst, IL 60126-2966 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420304 | Khushboo Gupta | Radiology | Rumc, 1653 W Congress Pkwy, Jelke 181, Department of Radiology and Nuclear Medicine, Chicao, IL 60612 | 2018-03-14 |
| 1427272418 | Highland Nuclear Imaging LLP | Radiology | 330 W Army Trail Rd, Suite 405, Bloomingdale, IL 60108-2681 | 2007-04-12 |
| 1437231560 | Future Diagnostics Group LLC | Radiology | 254 Republic Ave, Joliet, IL 60435-6518 | 2006-10-19 |
| 1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
| 1093716722 | Hinsdale Regional Pet Scan, LLC | Radiology | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2005-08-03 |
| 1710988423 | Northshore Regional Pet Scan, LLC | Radiology | 1464 Waukegan Rd, Glenview, IL 60025-2121 | 2005-08-03 |
| 1306131719 | Cardiac Imaging Sc | Radiology | 1440 W North Ave, Suite 101, Melrose Park, IL 60160-1422 | 2011-06-14 |
| 1023240470 | John C Tricou Md LLC | Radiology | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2009-08-19 |
| 1902030661 | Joliet Oncology Hematology Associates Ltd | Radiology | 3825 Highland Ave, # 2l,tower 1, Downers Grove, IL 60515-1552 | 2009-05-11 |
| 1760621833 | Joliet Oncology Hematology Associates Ltd | Radiology | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2009-02-13 |
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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.