NPIMap

Organization Active NPI

Advanced Diagnostics, SC

  • Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1821132127
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCED DIAGNOSTICS, SC
Practice address
2300 W. Peterson Avenue
Chicago, IL 60659-5242
Phone
(773) 761-9800
Fax
(773) 764-3129
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Aref Senno, MD
Title
Owner
Phone
(773) 508-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2300 W. Peterson Avenue
Chicago, IL 60659-5242

Mailing address

2320 W. Peterson Avenue
Chicago, IL 60659-5242
Phone (773) 508-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1821132127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W. PETERSON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W. PETERSON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-761-9800",
            "fax_number": "773-764-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SENNO",
        "authorized_official_first_name": "AREF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-508-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.