Northern Illinois Diagnostic Medical Imaging
in Elmhurst, IL. Organization (NPI-2).
NPI number1396744751
StatusActive
Last updated in NPPESFeb 9, 2009
Details
- NPI
- 1396744751
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Illinois Diagnostic Medical Imaging
- Organization subpart
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Feb 9, 2009
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 |
|---|---|---|---|---|
| 2085N0904X | – | – | Yes |
Other names
- Orland Medical Imaging, INC. (Doing Business As)
Practice location
200 Berteau AveElmhurst, IL 60126-2966
Phone 630-833-1400
Mailing address
520 E 22nd StLombard, IL 60148-6110
Phone 630-874-2542
Authorized official
Robert L Peiss
Chairman
6308331400
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