NPIMap

Organization Active NPI

Village Radiology LTD

  • Diagnostic Radiology Physician
  • Oak Park, IL
National Provider Identifier
1346337565
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VILLAGE RADIOLOGY LTD
Practice address
3 Erie Court
West Suburban Hospital
Oak Park, IL 60302-2519
Phone
(708) 386-6565
Fax
(708) 386-6589
NPI assigned
Oct 8, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mary Jo Bannon
Title
Office Manager
Phone
(708) 386-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

3 Erie Court
West Suburban Hospital
Oak Park, IL 60302-2519

Mailing address

121 N Marion St
Village Radiology LTD
Oak Park, IL 60301-1166
Phone (708) 386-6565

National Provider Directory

National Provider Directory

Locations

121 N Marion St
Oak Park, IL 60301

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1346337565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MARION ST",
            "address_2": "VILLAGE RADIOLOGY LTD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011166",
            "telephone_number": "708-386-6565",
            "fax_number": "708-386-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE COURT",
            "address_2": "WEST SUBURBAN HOSPITAL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-386-6565",
            "fax_number": "708-386-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BANNON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-386-6565"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.