Healthcare Provider Details

I. General information

NPI: 1902957830
Provider Name (Legal Business Name): APOLLO XRAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 W LAKE AVE LL6
GLENVIEW IL
60026-5805
US

IV. Provider business mailing address

3633 W LAKE AVE LL6
GLENVIEW IL
60026-5805
US

V. Phone/Fax

Practice location:
  • Phone: 847-657-1200
  • Fax: 847-657-1187
Mailing address:
  • Phone: 847-657-1200
  • Fax: 847-657-1187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2471M2300X
TaxonomyMammography Radiologic Technologist
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. RUDOLPH R LUNA
Title or Position: PRESIDENT
Credential: ARRT
Phone: 847-657-1200