Healthcare Provider Details

I. General information

NPI: 1508778614
Provider Name (Legal Business Name): CIMPAR DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MADISON ST STE 300
OAK PARK IL
60302-4210
US

IV. Provider business mailing address

101 MADISON ST STE 300
OAK PARK IL
60302-4210
US

V. Phone/Fax

Practice location:
  • Phone: 847-423-5096
  • Fax: 708-810-7914
Mailing address:
  • Phone: 847-423-5096
  • Fax: 708-810-7914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: DAN ROMAN
Title or Position: COO/CFO
Credential:
Phone: 773-415-4030