PET IMAGING OF CHICAGO
NPI 1700993490
Clinic/Center - Radiology in Berwyn, IL

NPI Status: Active since August 25, 2006

Contact Information

6801 WEST 34TH ST
SUITE 105
BERWYN, IL
ZIP 60402
Phone: (708) 484-8960
Fax: (708) 484-9153

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  • Organization
  • Clinic/Center
  • Radiology

About PET IMAGING OF CHICAGO

This page provides the complete NPI Profile along with additional information for Pet Imaging Of Chicago, a provider established in Berwyn, Illinois operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1700993490 assigned on August 2006. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pet Imaging Of Chicago. The authorized official of this NPI record is Jerry M. Eyler (Secretary)

NPI
1700993490
Provider Legal Name
E PET IMAGING XV, L.P.
Other Organization Name
PET IMAGING OF CHICAGO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6801 WEST 34TH ST SUITE 105 BERWYN, IL 60402
Location Phone
(708) 484-8960
Location Fax
(708) 484-9153
Mailing Address
6801 WEST 34TH ST SUITE 105 BERWYN, IL 60402
Mailing Phone
(708) 484-8960
Mailing Fax
(708) 484-9153
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERRY M. EYLER

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 467-7408

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700993490
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001896418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 9 + 6 + 4 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700993490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700993490, enumerated in the NPI registry as an "organization" on August 25, 2006

The provider is located at 6801 West 34th St Suite 105 Berwyn, Il 60402 and the phone number is (708) 484-8960

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

This NPI record was last updated on August 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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