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Contact Information

CENTRAL ILLINOIS DIAGNOSTIC IMAGING CENTER, LLC
3002 CROSSING CT
CHAMPAIGN, IL61822-6135
 Phone: 217-398-4594
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for CENTRAL ILLINOIS DIAGNOSTIC IMAGING CENTER, LLC

NPI Number 1023241742
LBN Legal business name CENTRAL ILLINOIS DIAGNOSTIC IMAGING CENTER, LLC
Authorized official STEVEN SEIBERT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2009
Last updated 10/25/2016 - About 10 years ago
Identifiers
IL License # 021001261
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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