PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING
NPI 1720197601
Radiology - Diagnostic Radiology in Bourbonnais, IL

NPI Status: Active since August 30, 2006

Contact Information

100 PROVENA WAY
SUITE 104
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 929-5800
Fax: (815) 929-5801

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  • Organization
  • Radiology
  • Diagnostic Radiology

About PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for Provena Health Center For Diagnostic Imaging, a provider established in Bourbonnais, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1720197601 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Provena Health Center For Diagnostic Imaging. The authorized official of this NPI record is Edward Molare (President)

NPI
1720197601
Provider Legal Name
PROVENA IMAGING SERVICES INC
Other Organization Name
PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 PROVENA WAY SUITE 104 BOURBONNAIS, IL 60914
Location Phone
(815) 929-5800
Location Fax
(815) 929-5801
Mailing Address
5775 WAYZATA BLVD SUITE 400 ST LOUIS PARK, MN 55416
Mailing Phone
(952) 542-8553
Mailing Fax
(815) 929-5801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDWARD MOLARE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(815) 806-2309

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720197601, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 9 + 1 + 4 + 6 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1720197601.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
100 PROVENA WAY, SUITE 102
BOURBONNAIS, IL 60914
Physician Assistant
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 60914
Radiology (Radiation Oncology)
100 PROVENA WAY, SUITE 102
BOURBONNAIS, IL 60914
Internal Medicine (Hematology & Oncology)
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 60914
Internal Medicine (Cardiovascular Disease)
100 PROVENA WAY
BOURBONNAIS, IL 60914
Radiology (Radiation Oncology)
100 PROVENA WAY
BOURBONNAIS, IL 60914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720197601, enumerated as an "organization" on August 30, 2006.

The provider is located at 100 PROVENA WAY SUITE 104 BOURBONNAIS, IL 60914 and the phone number is (815) 929-5800.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.