Healthcare Provider Details

I. General information

NPI: 1144387176
Provider Name (Legal Business Name): HINSDALE ORTHOPAEDIC IMAGING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 ROLLING RIDGE RD SUITE 102
NAPERVILLE IL
60564-4231
US

IV. Provider business mailing address

550 W OGDEN AVE
HINSDALE IL
60521-3186
US

V. Phone/Fax

Practice location:
  • Phone: 630-579-6500
  • Fax: 630-579-5860
Mailing address:
  • Phone: 630-323-6116
  • Fax: 630-323-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. KENNETH L SCHIFFMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 630-323-6116