CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES – NPI #1538192828
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES is a radiologist located in PEORIA, IL. NPPES has assigned the NPI number 1538192828 to CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES, LTD.. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Jul 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES below.

NPI Profile for
CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES, LTD.

NPI Number
1538192828
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES, LTD.
Doing Business As (dba): CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES
Primary location
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Phone: (309) 740-4272 Fax: (309) 740-7479
Mailing address
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone: (309) 740-4272 Fax: (309) 740-7479
Organization Subpart
No
Authorized Official
KEVIN FAHEY
PRESIDENT
Phone: (309) 740-4272
Updated
Certification Date
Jul 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.