Standup MRI of Deerfield LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

99999999 Issued in IL

Legal business name

STANDUP MRI OF DEERFIELD LLC

Practice address

457 Lake Cook Rd
Deerfield, IL 60015-5202

Phone

(847) 291-3921

Fax

(847) 291-9362

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Faith Thompson

Title

Credentialing Only

Phone

(225) 612-8806

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN3 enrollments

Enrollment records 3

Locations

Practitioners 4

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

• Michael Jay Fox, D.P.M.

  • Radiology Podiatrist
  • Northbrook, IL
  • NPI 1346418449
  NPD
• Maximina Boutselis, M.D.

  • Diagnostic Radiology Physician
  • West Newbury, MA
  • NPI 1013946094
  NPD
• Lloyd David Wagner, M.D.

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1124161872
  NPD
• Thomas A Predey, MD

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1417934639
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1972541225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155202",
            "telephone_number": "847-291-3921",
            "fax_number": "847-291-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155202",
            "telephone_number": "847-291-3921",
            "fax_number": "847-291-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 W 177th St Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292185",
            "country_code": "US",
            "telephone_number": "708-799-4940",
            "fax_number": "708-799-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 N Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453100",
            "country_code": "US",
            "telephone_number": "574-257-4674",
            "fax_number": "574-257-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STANDUP MRI OF DEERFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING ONLY",
        "authorized_official_telephone_number": "225-612-8806"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "99999999",
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Soto, PSYD
• Nick J Sotor, PSYD
• Leah Spear Shepard, LCSW
• Speech Time
• Lacandian Spencer, P.D.
• John J Stavrakos, M.D.
• Kaela Steele
• Barry Noah Stein, D.D.S.
• Stephanie Ardagh LLC
• Stephen R Morse MD SC

• Specialist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.