Provider Demographics
NPI:1972557668
Name:NAPERVILLE IMAGING INSTITUTE, LLC
Entity Type:Organization
Organization Name:NAPERVILLE IMAGING INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARVEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-717-3700
Mailing Address - Street 1:1888 BAYSCOTT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1106
Mailing Address - Country:US
Mailing Address - Phone:630-717-3700
Mailing Address - Fax:
Practice Address - Street 1:1888 BAYSCOTT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1106
Practice Address - Country:US
Practice Address - Phone:630-717-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212255Medicare ID - Type UnspecifiedMEDICARE #