NPIMap

Organization Active NPI

VHS of Illinois Inc

Doing business as MacNeal Outpatient Imaging

  • Radiology Clinic/Center
  • Riverside, IL
National Provider Identifier
1295990844
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VHS OF ILLINOIS INC
Doing business as
MacNeal Outpatient Imaging
Practice address
3722 Harlem Ave
Suite LL20
Riverside, IL 60546-2312
Phone
(708) 783-0602
Fax
(708) 783-0620
NPI assigned
Jul 23, 2008
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VHS OF ILLINOIS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Craig C. Armin
Title
VP of Govt Programs, Tenet
Phone
(818) 436-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3722 Harlem Ave
Suite LL20
Riverside, IL 60546-2312

Mailing address

20 Burton Hills Blvd Ste 100
Attention: Carol Bailey
Nashville, TN 37215-6409
Phone (615) 665-6000

Other names 1

  • MacNeal Outpatient Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Macneal Hospital9 organizations share this tax ID, including this one
Part of
Macneal Hospital

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3722 Harlem Ave
Ste LL20
Riverside, IL 60546
Phone (708) 783-0602

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1295990844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD STE 100",
            "address_2": "ATTENTION: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156409",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE",
            "address_2": "SUITE LL20",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462312",
            "telephone_number": "708-783-0602",
            "fax_number": "708-783-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS OF ILLINOIS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VHS OF ILLINOIS INC",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ARMIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
        "authorized_official_telephone_number": "818-436-2267"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MacNeal Outpatient Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MacNeal Outpatient Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.