Organization Active NPI

Conventions RX, LTD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Naperville, IL
National Provider Identifier
1134770258
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
Legal business name
CONVENTIONS RX, LTD
Practice address
1560 Wall St Ste 304
Naperville, IL 60563-1262
Phone
(630) 416-8289
Fax
(630) 416-8307
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krista Lane
Title
Practice Manager
Phone
(630) 416-8289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085D0003X Primary

Addresses

Primary practice location

1560 Wall St Ste 304
Naperville, IL 60563-1262

Mailing address

1560 Wall St Ste 304
Naperville, IL 60563-1262
Phone (630) 416-8289

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1134770258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WALL ST STE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631262",
            "telephone_number": "630-416-8289",
            "fax_number": "630-416-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WALL ST STE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631262",
            "telephone_number": "630-416-8289",
            "fax_number": "630-416-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENTIONS RX, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-416-8289"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.