OrganizationActive
Excellent Diagnostic Imaging Center, LLC
NPI 1629364252 · General Practice Physician · Orland Park, IL
Provider details
- NPI number
- 1629364252
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ahsin Shamsi, Administrator(708) 364-1205
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
14489 John Humphrey Dr
Suite 1-Sc
Orland Park, IL 60462-2637
Phone: (708) 364-1205
Fax: (708) 364-1265
Street-level locationGet directions
Mailing address
14489 John Humphrey Dr
Orland Park, IL 60462-2637
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2022-10-01
- Certified
- 2022-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.