PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING – NPI #1720197601
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING is a radiologist located in BOURBONNAIS, IL. NPPES has assigned the NPI number 1720197601 to PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING on August 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING” is a dba name, the actual legal business name for this organization is PROVENA IMAGING SERVICES INC. 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 Aug 22, 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 PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING below.
NPI Profile for
PROVENA IMAGING SERVICES INC
(about 20 years ago)
SUITE 104
BOURBONNAIS, IL 60914 Phone: (815) 929-5800 Fax: (815) 929-5801
SUITE 400
ST LOUIS PARK, MN 55416 Phone: (952) 542-8553 Fax: (952) 513-6880
PRESIDENT
Phone: (815) 806-2309
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.