Molecular Imaging Chicago LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOLECULAR IMAGING CHICAGO LLC

Practice address

230 E Ogden Ave Ste 100
Hinsdale, IL 60521-2460

Phone

(630) 325-6300

Fax

(630) 214-2362

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Tucker

Title

Director

Phone

(630) 755-4327

Specialties & licenses 2

Addresses

Other names 1

• National Imaging Former legal business name

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1306138920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 105S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231294",
            "telephone_number": "630-755-4325",
            "fax_number": "630-819-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OGDEN AVE STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212460",
            "telephone_number": "630-325-6300",
            "fax_number": "630-214-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 E Saint Charles Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882600",
            "country_code": "US",
            "telephone_number": "630-468-0793",
            "fax_number": "630-462-1376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Remington Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604403666",
            "country_code": "US",
            "telephone_number": "630-771-9950",
            "fax_number": "630-771-9956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1732 W Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600053405",
            "country_code": "US",
            "telephone_number": "847-385-2601",
            "fax_number": "847-385-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14315 108th Ave",
            "address_2": "Suite 122",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "60467",
            "country_code": "US",
            "telephone_number": "708-428-1910",
            "fax_number": "708-428-1909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 S Addison Rd Ste 107B",
            "address_purpose": "LOCATION",
            "city": "Wood Dale",
            "state": "IL",
            "postal_code": "601911978",
            "country_code": "US",
            "telephone_number": "630-694-6300",
            "fax_number": "630-694-6304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16137 La Salle St",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "604732064",
            "country_code": "US",
            "telephone_number": "708-596-5555",
            "fax_number": "708-596-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 N Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606411502",
            "country_code": "US",
            "telephone_number": "773-427-1222",
            "fax_number": "773-427-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOLECULAR IMAGING CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-755-4327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Imaging",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "National Imaging",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashwini Vivek Modak
• Chirag Modi, M.D.
• Tim Daniel Moeller, PA- C
• Boyce N Moffitt, OPTICIAN, ABOC
• Caroline A Mohlstrom, D.C.
• Molecular Imaging of Hinsdale, LLC
• Molecular Imaging of Suburban Chicago LLC
• Molecular Imaging of Suburban Chicago, LLC
• Julian Moncada, MD
• Elizabeth Montgomery

• Diagnostic Radiology Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.