Active NPI
Advanced Medical Imaging Center LLC
- Diagnostic Radiology Physician
- Oakbrook Terrace, IL
National Provider Identifier
1962374389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251124003049 | IL | Part B Supplier - Clinic/Group Practice | 4082106356 | Practice locations: Oak Brook, IL |
National Provider Directory
National Provider DirectoryLocations
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.