MEDICARE: ARLINGTON HEIGHTS RADIOLOGY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		IL

General Provider Information

NPI Number	:	1851302699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON HEIGHTS RADIOLOGY CENTER, LLC

Provider Business Mailing Address
First Line	:	121 S WILKE RD
Second Line	:	SUITE 103
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1533
Country	:	US
Telephone Number	:	847-870-9600
Fax Number	:	847-870-7600

Provider Business Practice Location Address
First Line	:	121 S WILKE RD
Second Line	:	SUITE 103
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1533
Country	:	US
Telephone Number	:	847-870-9600
Fax Number	:	847-870-7600

Authorized Official
Title or Position	:	MEMBER OF THE BOARD OF MANAGERS
Name	:	DR. JEFFREY LEE ROSENGARTEN
Credential	:	MD
Telephone Number	:	847-918-1462

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/22/2020

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