Provider Demographics
NPI:1881993269
Name:US DIAGNOSTIC IMAGING COMPANY INC
Entity type:Organization
Organization Name:US DIAGNOSTIC IMAGING COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEYZER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RDMS, RVT
Authorized Official - Phone:847-800-1261
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-6308
Mailing Address - Country:US
Mailing Address - Phone:847-800-1261
Mailing Address - Fax:800-507-6944
Practice Address - Street 1:1435 SHAWNEE TRL
Practice Address - Street 2:
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-1630
Practice Address - Country:US
Practice Address - Phone:224-804-6395
Practice Address - Fax:800-507-6944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty