Provider Demographics
NPI:1790502268
Name:MIDWEST COMPREHENSIVE IMAGING, PLLC
Entity type:Organization
Organization Name:MIDWEST COMPREHENSIVE IMAGING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:NEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-501-1706
Mailing Address - Street 1:300 W BUTTERFIELD RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5017
Mailing Address - Country:US
Mailing Address - Phone:630-283-8680
Mailing Address - Fax:630-283-8658
Practice Address - Street 1:300 W BUTTERFIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5017
Practice Address - Country:US
Practice Address - Phone:630-283-8680
Practice Address - Fax:630-283-8658
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST COMPREHENSIVE IMAGING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-25
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)