Midwest Center for Advanced Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MIDWEST CENTER FOR ADVANCED IMAGING LLC

Practice address

4355 Montgomery Rd
Naperville, IL 60564

Phone

(630) 236-8300

Fax

(630) 236-9860

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Nadine A Roy

Title

Executive Director

Phone

(630) 236-8300

Specialties & licenses 2

Addresses

Other identifiers 2

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Midwest Center for Advanced Imaging, LLC

  • Radiology Clinic/Center
  • Naperville, IL
  • NPI 1891019097
  NPPES parent name
• Midwest Center for Advanced Imaging, LLC

  • Radiology Clinic/Center
  • Naperville, IL
  • NPI 1912220468
  NPPES parent name
• Midwest Center for Advanced Imaging, LLC

  • Radiology Clinic/Center
  • Naperville, IL
  • NPI 1952625980
  NPPES parent name

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821163569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 MONTGOMERY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-236-8300",
            "fax_number": "630-236-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 MONTGOMERY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-236-8300",
            "fax_number": "630-236-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR ADVANCED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-236-8300"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "30011047",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02223011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michna, PA-C
• Rima Mickus, LCPC
• Sawsan Midani
• Kayla Marie Middel
• Midwest Cardiovascular Institute SC
• Midwest Center for Advanced Imaging, LLC
• Midwest Center for Advanced Imaging, LLC
• Midwest Center for Advanced Imaging, LLC
• Midwest Center for Neuropathy
• Midwest Endoscopy Center LLC

• Diagnostic Radiology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.