| NPI | 1407825342 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-03-14 |
| Last Updated | 2026-04-23 |
| Authorized Official | Gregory Cizek Managing Partner Phone: 6186322900 |
| Mailing Address | 12 Wolf Creek Dr Ste 300 Swansea, IL 62226-2314 United States Phone: (618) 632-2900 | Fax: (618) 632-2901 📍 View Map |
| Primary Practice Address | 12 Wolf Creek Dr Ste 300 Swansea, IL 62226-2314 United States Phone: (618) 632-2900 | Fax: (618) 632-2901 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | IL975 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261QM1200X – Clinic/Center, Magnetic Resonance Imaging (MRI) | - | - |
| Yes | 261QR0200X – Clinic/Center, Radiology | - | - |
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About NPI 1407825342
Elite Imaging Of Fairview Heights, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1407825342. The primary specialty listed is Clinic/Center, Radiology. The organization is located in Swansea, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407825342?
NPI 1407825342 belongs to Elite Imaging Of Fairview Heights, Llc, a Clinic/Center, Radiology in Swansea, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407825342 active?
The current status of NPI 1407825342 in the NPPES registry is Active. The record was last updated on 2026-04-23.
What specialty is NPI 1407825342?
NPI 1407825342 is classified under the taxonomy Clinic/Center, Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407825342?
You can verify NPI 1407825342 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407825342?
The primary practice address on file for NPI 1407825342 is 12 Wolf Creek Dr Ste 300, Swansea, IL 62226-2314. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407825342 issued?
NPI 1407825342 was first issued (enumerated) on 2006-03-14. The NPPES record was last updated on 2026-04-23.
Practice Location Map
Elite Imaging Of Fairview Heights, Llc is located at 12 Wolf Creek Dr Ste 300, Swansea, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Elite Imaging Of Fairview Heights, Llc. All records sourced from the CMS NPPES registry.