OrganizationActive
Advanced Imaging Consultants LLC
NPI 1114235603 · Diagnostic Radiology Physician · Jerseyville, IL
Provider details
- NPI number
- 1114235603
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oscar Lin, President(618) 498-6402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 Maple Summit Rd
Radiology Dept
Jerseyville, IL 62052-2028
Phone: (618) 498-6402
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 713170
Chicago, IL 60677-0370
Registry dates
- Enumerated
- 2010-09-17
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.