Provider Demographics
NPI:1861491474
Name:ACCURATE IMAGING DIAGNOSTIC, LTD.
Entity Type:Organization
Organization Name:ACCURATE IMAGING DIAGNOSTIC, LTD.
Other - Org Name:RBR MANAGEMENT INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUSILOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-588-8378
Mailing Address - Street 1:3525 W PETERSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3324
Mailing Address - Country:US
Mailing Address - Phone:773-588-8373
Mailing Address - Fax:773-588-8391
Practice Address - Street 1:3525 W PETERSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3324
Practice Address - Country:US
Practice Address - Phone:773-588-8373
Practice Address - Fax:773-588-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202971Medicare ID - Type Unspecified