ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC – NPI #1114438769
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC is a radiologist located in NEW LENOX, IL. NPPES has assigned the NPI number 1114438769 to ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC on October 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Mar 07, 2025. 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 ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC below.

NPI Profile for
ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC

NPI Number
1114438769
Enumeration Date

(more than 8 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
ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC
Primary location
1890 SILVER CROSS BLVD STE 450
NEW LENOX, IL 60451-9518
Phone: (815) 900-9060 Fax:
Mailing address
3010 HIGHLAND PKWY STE 325
DOWNERS GROVE, IL 60515-5670
Phone: (630) 581-6524 Fax:
Organization Subpart
No
Authorized Official
TARRA GRANT
PRACTICE MANAGER
Phone: (815) 900-9060
Updated
Certification Date
Mar 07, 2025

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
2085R0204X
- Radiology / Vascular & Interventional 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.