OrganizationActive
Advanced Imaging of Deerfield, LLC
NPI 1629033469 · Diagnostic Radiology Physician · Bannockburn, IL
Provider details
- NPI number
- 1629033469
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mary Houlihan, Director
Practice location
2101 Waukegan Rd
Suite 108
Bannockburn, IL 60015-1836
Phone: (847) 374-8100
Fax: (847) 374-8125
Mailing address
2101 Waukegan Rd
Bannockburn, IL 60015-1836
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.