Provider Demographics
NPI:1952678468
Name:IMAGING CENTERS OF AMERICA INC
Entity Type:Organization
Organization Name:IMAGING CENTERS OF AMERICA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SULTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-250-2544
Mailing Address - Street 1:2720 E NEW YORK ST STE 100-104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9300
Mailing Address - Country:US
Mailing Address - Phone:630-898-3333
Mailing Address - Fax:630-898-3332
Practice Address - Street 1:2720 E NEW YORK ST
Practice Address - Street 2:SUITE 100-104
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9300
Practice Address - Country:US
Practice Address - Phone:630-898-3333
Practice Address - Fax:630-898-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL7433Medicare UPIN