E Pet Imaging XV, L.P.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

E PET IMAGING XV, L.P.

Practice address

6801 West 34TH St
Suite 105
Berwyn, IL 60402-5473

Phone

(708) 484-8960

Fax

(708) 484-9153

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Jerry M. Eyler

Title

Secretary

Phone

(615) 467-7408

Specialties & licenses 1

Addresses

Other names 1

• PET Imaging of Chicago Doing business as

Locations

Practitioners 1

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

• Christina Marie Perrino, PA-C

  • Physician Assistant
  • Montgomery, IL
  • NPI 1417396334
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700993490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 WEST 34TH ST",
            "address_2": "SUITE 105",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025473",
            "telephone_number": "708-484-8960",
            "fax_number": "708-484-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WEST 34TH ST",
            "address_2": "SUITE 105",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025473",
            "telephone_number": "708-484-8960",
            "fax_number": "708-484-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E PET IMAGING XV, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EYLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-467-7408"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET Imaging of Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Dunderdale, MS
• Aneisha Dunmore
• Chan Phuong Duong, PHARMD
• Audra Duren, L.C.S.W.
• Julie Durkalec, BS, CADC
• E Plus Healthcare XV, LLC
• Echowsworld
• Rachel L Eckelkamp, DO
• Marie Christine Edstrom, LMT, NCTMB
• Kate Edwards, PT, DPT

• Radiology Clinic/Center in Berwyn, IL
• Providers in Berwyn, 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 Jul 21, 2022; 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.