Healthcare Provider Details

I. General information

NPI: 1295645463
Provider Name (Legal Business Name): STELLAR MRI AND IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 N WESTERN AVE
CHICAGO IL
60645-1812
US

IV. Provider business mailing address

7200 N WESTERN AVE
CHICAGO IL
60645-1812
US

V. Phone/Fax

Practice location:
  • Phone: 773-280-7001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMEER SHAH
Title or Position: MEMBER
Credential: MD
Phone: 773-280-7001