Organization Active NPI

Advanced Medical Imaging Center LLC

  • Diagnostic Radiology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1962374389
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED MEDICAL IMAGING CENTER LLC
Practice address
1 Trans Am Plaza Dr
Ste 16
Oakbrook Terrace, IL 60181-4364
Phone
(630) 440-7786
Fax
(312) 807-3550
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Moqueet A Syed
Title
Member Manager
Phone
(630) 440-7786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1 Trans Am Plaza Dr
Ste 16
Oakbrook Terrace, IL 60181-4364

Mailing address

1 Trans Am Plaza Dr
Ste 16
Oakbrook Terrace, IL 60181-4364
Phone (630) 440-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124003049 IL Part B Supplier - Clinic/Group Practice 4082106356 Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

2210 Midwest Rd
Ste 104
Oak Brook, IL 60523

2210 Midwest Rd
Ste 105
Oak Brook, IL 60523

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1962374389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRANS AM PLAZA DR",
            "address_2": "STE 16",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814364",
            "telephone_number": "630-440-7786",
            "fax_number": "312-807-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRANS AM PLAZA DR",
            "address_2": "STE 16",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814364",
            "telephone_number": "630-440-7786",
            "fax_number": "312-807-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "630-440-7786"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.