Chicago Ridge Medical Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

9254198 Issued in IL

Legal business name

CHICAGO RIDGE MEDICAL IMAGING, LLC

Practice address

9830 Ridgeland Ave
Chicago Ridge, IL 60415-2667

Phone

(708) 423-1819

Fax

(708) 423-4788

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Alecia P Giunta

Title

President

Phone

(708) 738-5332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 5

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

• Tami C Carrillo, MD

  • Vascular & Interventional Radiology Physician
  • Zion, IL
  • NPI 1013171453
  NPD
• Maan Sami El Khadra, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1316946700
  NPD
• Sohail Hanif, M.D.

  • Cardiovascular Disease Physician
  • Dixon, IL
  • NPI 1770559031
  NPD
• Kathleen A Ward, M.D.

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1861501728
  NPD
• Andrew McDonnell, MD

  • Diagnostic Radiology Physician
  • Fresh Meadows, NY
  • NPI 1912968025
  NPD

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1841683802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-423-1819",
            "fax_number": "708-423-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-423-1819",
            "fax_number": "708-423-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO RIDGE MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "GIUNTA",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-738-5332"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "9254198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaely Rose Cassidy, M.S., SLP/L
• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD
• Chicago Ridge Immediate Care Inc
• Chicago Ridge Physical Therapy LLC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology, S.C.

• Radiology Clinic/Center in Chicago Ridge, IL
• Providers in Chicago Ridge, 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 Jan 15, 2020; 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.