Fox Valley Imaging Center, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

9251598 Issued in IL

Legal business name

FOX VALLEY IMAGING CENTER, INC.

Practice address

1971 Gowdey Rd
Suite 107
Naperville, IL 60563-4232

Phone

(630) 416-1300

Fax

(630) 416-1511

NPI assigned

Jan 3, 2007

Last updated

Mar 23, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

TAYLOR MEDICAL DIAGNOSTICSAs reported in NPPES

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

Authorized official

Name

Mr. Steven A. Daghfal

Title

Operations Manager

Phone

(630) 416-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Gregory T Goldstein, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1821063496
  NPD
• Allan Michael Haggar, M.D.

  • Diagnostic Radiology Physician
  • Naperville, IL
  • NPI 1578583340
  NPD
• Susan M O'Connor, NP-C

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1992297899
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1518014778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 GOWDEY RD",
            "address_2": "SUITE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634232",
            "telephone_number": "630-416-1300",
            "fax_number": "630-416-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 GOWDEY RD",
            "address_2": "SUITE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634232",
            "telephone_number": "630-416-1300",
            "fax_number": "630-416-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY IMAGING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR MEDICAL DIAGNOSTICS",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "DAGHFAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "630-416-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "9251598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundation Foot and Ankle Center LLC
• Krystal Marie Fowlkes, LCSW
• Fox Valley BH LLC
• Fox Valley Foot Specialists,LTD
• Fox Valley Foot Specialists,LTD
• Fox Valley Institute for Growth and Wellness Inc
• Fox Valley Laser Center
• Fox Valley Physical Therapy and Rehab Specialists
• Fox Valley Radiation Oncology LLC
• Dana Marie Fox

• Radiology Clinic/Center in Naperville, IL
• Providers in Naperville, 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 Mar 23, 2012; 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.