Advanced Midwest Interventional Radiology, LLC
NPI 1114438769 · Vascular & Interventional Radiology Physician · New Lenox, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Midwest Interventional Radiology, LLC is a Vascular & Interventional Radiology Physician organization in New Lenox, IL (NPI 1114438769).
Provider details
- NPI number
- 1114438769
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tarra Grant, Practice Manager(815) 900-9060
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-21
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Advanced Midwest Interventional Radiology, LLC's NPI number?
- Advanced Midwest Interventional Radiology, LLC's National Provider Identifier (NPI) is 1114438769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Midwest Interventional Radiology, LLC?
- Advanced Midwest Interventional Radiology, LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Midwest Interventional Radiology, LLC located?
- Advanced Midwest Interventional Radiology, LLC's practice location on file with NPPES is 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518.
- What is Advanced Midwest Interventional Radiology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Midwest Interventional Radiology, LLC is (815) 900-9060.
- Does Advanced Midwest Interventional Radiology, LLC accept Medicare?
- Advanced Midwest Interventional Radiology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Midwest Interventional Radiology, LLC?
- The authorized official listed on Advanced Midwest Interventional Radiology, LLC's NPPES record is Tarra Grant, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Midwest Interventional Radiology, LLC's NPI active?
- Yes — Advanced Midwest Interventional Radiology, LLC's NPI (1114438769) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.