Healthcare Provider Details

I. General information

NPI: 1437106812
Provider Name (Legal Business Name): 7 HILLS NUCLEAR IMAGING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 SPRING HILL RING RD STE 2000
WEST DUNDEE IL
60118-1297
US

IV. Provider business mailing address

650 SPRING HILL RING RD STE 2000
WEST DUNDEE IL
60118-1297
US

V. Phone/Fax

Practice location:
  • Phone: 847-428-2273
  • Fax: 847-428-3128
Mailing address:
  • Phone: 847-428-2273
  • Fax: 847-428-3128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number036110141
License Number StateIL

VIII. Authorized Official

Name: SRINIVAS R RAVANAM
Title or Position: PRESIDENT
Credential: M.D.
Phone: 630-369-5544