| Central Illinois Diagnostic Imaging Center, Llc | |
|
3002 Crossing Ct Champaign IL 61822-6135 | |
| (217) 398-4594 | |
| Not Available |
| Full Name | Central Illinois Diagnostic Imaging Center, Llc |
|---|---|
| Speciality | Clinic/center - Radiology |
| Location | 3002 Crossing Ct, Champaign, Illinois |
| Authorized Official Name and Position | Steven Seibert (PRESIDENT) |
| Authorized Official Contact | 2173984594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Diagnostic Imaging Center, Llc 1804 Bentbrook Dr Champaign IL 61822-9218 Ph: (217) 352-2711 | Central Illinois Diagnostic Imaging Center, Llc 3002 Crossing Ct Champaign IL 61822-6135 Ph: (217) 398-4594 |
| NPI Number | 1023241742 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023241742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 021001261 (Illinois) | Secondary |
| 261QR0200X | Clinic/center - Radiology | 021001261 (Illinois) | Primary |
Creative Smiles Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Convenience Place, Suite A, Champaign, IL 61820 Phone: 217-355-5165 Fax: 217-355-5189 | |
Lindsey A Hans, Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2918 Crossing Ct Ste A, Champaign, IL 61822 Phone: 217-356-9855 Fax: 217-356-9750 | |
Robert W Shafer Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2902 Crossing Ct, Suite A, Champaign, IL 61822 Phone: 217-356-9595 Fax: 217-356-6425 | |
Illini Smiles Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Springfield Ave Ste 506, Champaign, IL 61820 Phone: 217-356-3335 | |
Affiliates In Oral & Maxillofacial Surgery Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 3112 Village Office Pl, Champaign, IL 61822 Phone: 217-351-7111 Fax: 217-351-7282 | |
Omfs Practice Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Crossing Ct Ste A, Champaign, IL 61822 Phone: 217-366-1246 |