Midwest Advanced Radiology Center , LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MIDWEST ADVANCED RADIOLOGY CENTER , LLC

Practice address

11600 S Kedzie Ave Ste G
Merrionette Park, IL 60803-6308

Phone

(708) 215-3400

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

John W Saldanha

Title

Director

Phone

(708) 987-3795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1285157313",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE STE G",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036308",
            "telephone_number": "708-215-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ADVANCED RADIOLOGY CENTER , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-987-3795"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Kathleen McGrail, BCBA
• Kayla Serena Mejia
• Metropolitan Diagnostic Imaging
• Metropolitan Family Services
• Metropolitan Family Services
• Witold Jan Mierzwa, PT
• Renita Millhouse
• Jaleel Minor
• Grace Katherine Moloney
• Jocelyn Morales

• Radiology Clinic/Center in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.