Provider Demographics
NPI:1851302699
Name:ARLINGTON HEIGHTS RADIOLOGY CENTER, LLC
Entity Type:Organization
Organization Name:ARLINGTON HEIGHTS RADIOLOGY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF THE BOARD OF MANAGERS
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ROSENGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-918-1462
Mailing Address - Street 1:121 S WILKE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1533
Mailing Address - Country:US
Mailing Address - Phone:847-870-9600
Mailing Address - Fax:847-870-7600
Practice Address - Street 1:121 S WILKE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1533
Practice Address - Country:US
Practice Address - Phone:847-870-9600
Practice Address - Fax:847-870-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212301Medicare ID - Type UnspecifiedMEDICARE PART B #