Active NPI
Midwest Advanced Radiology Center, LLC
- Radiology Clinic/Center
- Lake Barrington, IL
National Provider Identifier
1104263763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MIDWEST ADVANCED RADIOLOGY CENTER, LLC
- Practice address
- 22285 N Pepper Rd Ste 103
Lake Barrington, IL 60010-2539 - Phone
- (847) 277-0936
- Fax
- (847) 277-0945
- NPI assigned
- May 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darryl J Saldanha, MD
- Title
- Director
- Phone
- (847) 296-5366
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | IL | Primary | |
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
22285 N Pepper Rd Ste 103
Lake Barrington, IL 60010-2539
Mailing address
9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (847) 296-5366
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1104263763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9680 GOLF RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161522",
"telephone_number": "847-296-5366",
"fax_number": "847-296-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22285 N PEPPER RD STE 103",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600102539",
"telephone_number": "847-277-0936",
"fax_number": "847-277-0945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ADVANCED RADIOLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-22",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "SALDANHA",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-296-5366",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.