Provider Demographics
NPI:1043408644
Name:CAHILL DIAGNOSTIC IMAGING, INC
Entity Type:Organization
Organization Name:CAHILL DIAGNOSTIC IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:K
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-290-7269
Mailing Address - Street 1:1919 S WOLF RD
Mailing Address - Street 2:UNIT 206
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162-2163
Mailing Address - Country:US
Mailing Address - Phone:630-290-7269
Mailing Address - Fax:
Practice Address - Street 1:1919 S WOLF RD
Practice Address - Street 2:UNIT 206
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-2163
Practice Address - Country:US
Practice Address - Phone:630-290-7269
Practice Address - Fax:708-483-8254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009740111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty