Organization Active NPI

Midwest Center for Advanced Imaging, LLC

  • Radiology Clinic/Center
  • Naperville, IL
National Provider Identifier
1891019097
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MIDWEST CENTER FOR ADVANCED IMAGING, LLC
Practice address
4355 Montgomery Rd.
Naperville, IL 60564-9542
Phone
(630) 236-8300
Fax
(630) 236-9860
NPI assigned
Mar 17, 2010
Organization subpart
Yes
Parent organization
MIDWEST CENTER FOR ADVANCED IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Nadine Ann Roy
Title
Cfo
Phone
(630) 236-8300

Specialties & licenses 1

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

Addresses

Primary practice location

4355 Montgomery Rd.
Naperville, IL 60564-9542

Mailing address

4355 Montgomery Rd
Naperville, IL 60564-9542
Phone (630) 236-8300

Other names 1

  • MCAI BreastCenter Willowbrook Doing business as

National Provider Directory

National Provider Directory

Locations

545 Plainfield Rd
Ste E
Willowbrook, IL 60527
Phone (630) 269-2886

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1891019097",
    "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": "605649542",
            "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": "605649542",
            "telephone_number": "630-236-8300",
            "fax_number": "630-236-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR ADVANCED IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST CENTER FOR ADVANCED IMAGING, LLC",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-236-8300"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCAI BreastCenter Willowbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.