Advantage Mri-Logan Square, LLC
NPI 1467408872ActiveOrganization· Radiology, Diagnostic Radiology· Chicago, IL
Radiology, Diagnostic Radiology in Chicago, Illinois, registered in NPPES in May 2006. The authorized official on file is Haifa Sharifeh, Director. Medicare paid $1,979 for services to 13 patients in 2024.
Overview
| NPI | 1467408872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Aug 4, 2020 |
| Certified by provider | Aug 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 15 across 6 procedure codes |
| Paid by Medicare | $1,979 |
Other Radiology, Diagnostic Radiology providers in Chicago
- 1861491474
- 1124056130
- 1770769390
- 1174006217
- 1922492628
- 1790986388
- 1255373023
- 1275578114
- 1245425719
- 1508813403
- 1295952059
- 1508728247