Elite Imaging of Fairview Heights, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ELITE IMAGING OF FAIRVIEW HEIGHTS, LLC

Practice address

12 Wolf Creek Dr Ste 300
Swansea, IL 62226-2314

Phone

(618) 632-2900

Fax

(618) 632-2901

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Cizek, M.D.

Title

Managing Partner

Phone

(618) 632-2900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elite Imaging of Fairview Heights, LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Therapeutic and Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1164622965

  Member Of

  NPD member

Locations

Practitioners 4

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

• James T Barron, M.D.

  • Diagnostic Radiology Physician
  • Herrin, IL
  • NPI 1457338238
  NPD (past)
• John A Mattingly, MD

  • Diagnostic Radiology Physician
  • Swansea, IL
  • NPI 1952355786
  NPD (past)
• Stephanie Heather Swope, MD

  • Diagnostic Radiology Physician
  • Springfield, IL
  • NPI 1164484846
  NPD (past)
• Daniel Abodeely, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1578554762
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1407825342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 300",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "618-632-2900",
            "fax_number": "618-632-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 300",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "618-632-2900",
            "fax_number": "618-632-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IMAGING OF FAIRVIEW HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "CIZEK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "618-632-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IL975",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elite-imaging.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PACS",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "12 Wolf Creek Dr Ste 300",
            "city": "Swansea",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622262314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Imaging of Fairview Heights, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Ebers
• Lauren Eck, FNP
• Jane M Edgar, LCSW, ACHP-SW
• Brandy Eichelberger, ANP-BC
• Elevated Heights Counseling
• Andrew Franklin Elliff, D.M.D.
• Elzoobi Pediatrics LTD
• Emily Marie Enboden
• John Thomas English, M.D.
• Catherine Espino

• Radiology Clinic/Center in Swansea, IL
• Providers in Swansea, 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 Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.