Advantage Mri-Carol Stream, LLC
Clinic/Center, Radiology in Carol Stream, IL. Organization (NPI-2).
NPI number1265626436
StatusActive
Last updated in NPPESOct 19, 2017
Details
- NPI
- 1265626436
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Mri-Carol Stream, LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2007
- Last updated
- Oct 19, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
640 E Saint Charles RdSuite 106
Carol Stream, IL 60188-3083
Phone 630-462-0793 · Fax 630-462-1376
Mailing address
2625 Butterfield Rd Ste 219sOak Brook, IL 60523-1239
Phone 630-755-4327 · Fax 630-819-8153
Authorized official
Stephanie Tucker
Director
6307554327
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