Healthcare Provider Details

I. General information

NPI: 1699588376
Provider Name (Legal Business Name): PRECISIONIMAGINGUSA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 FAIRVIEW AVE STE L1
DOWNERS GROVE IL
60515-2265
US

IV. Provider business mailing address

26W561 WOODVALE CT
WINFIELD IL
60190-1300
US

V. Phone/Fax

Practice location:
  • Phone: 630-344-9449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH SYED
Title or Position: OWNER
Credential:
Phone: 630-344-9449