Healthcare Provider Details

I. General information

NPI: 1649421504
Provider Name (Legal Business Name): INVISIBLE SUN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 SAINT FRANCIS CIR
OAK BROOK IL
60523-2560
US

IV. Provider business mailing address

117 SAINT FRANCIS CIR
OAK BROOK IL
60523-2560
US

V. Phone/Fax

Practice location:
  • Phone: 312-242-7066
  • Fax: 630-655-8860
Mailing address:
  • Phone: 312-242-7066
  • Fax: 630-655-8860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PEDRO M REDONDO
Title or Position: MANAGER/MEMBER
Credential:
Phone: 312-427-0666