Organization Active NPI

Advanced Breast Imaging LLC

  • Diagnostic Radiology Physician
  • Arlington Heights, IL
National Provider Identifier
1366697567
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED BREAST IMAGING LLC
Practice address
1700 W Central Rd
Suite 50
Arlington Heights, IL 60005-2474
Phone
(224) 764-4110
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Jodi Krusely
Title
Account Manager
Phone
(630) 390-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1700 W Central Rd
Suite 50
Arlington Heights, IL 60005-2474

Mailing address

1700 W Central Rd
Suite 50
Arlington Heights, IL 60005-2474
Phone (224) 764-4110

National Provider Directory

National Provider Directory

Locations

1700 W Central Rd
Ste 50
Arlington Hts, IL 60005
Phone (224) 764-4110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1366697567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CENTRAL RD",
            "address_2": "SUITE 50",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052474",
            "telephone_number": "224-764-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W CENTRAL RD",
            "address_2": "SUITE 50",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052474",
            "telephone_number": "224-764-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BREAST IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "KRUSELY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "630-390-1240"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.