MIDWEST DIAGNOSTIC MANAGEMENT, LLC – Exclusive Provider Organization, NPI 1003933920

MIDWEST DIAGNOSTIC MANAGEMENT, LLC is a healthcare provider. based in Mokena, Illinois. specializing in Exclusive Provider Organization. The NPI Number for MIDWEST DIAGNOSTIC MANAGEMENT, LLC is 1003933920

Main info

Organization
Name
MIDWEST DIAGNOSTIC MANAGEMENT, LLC
NPI
1003933920
Phone
(708) 478-6417
Address
19065 HICKORY CREEK PL
Authorized Official
MR. JON KNIPPER CHIEF OPERATING OFFICER
Enumeration Date
24 March 2007
Last Update Date
10 December 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for MIDWEST DIAGNOSTIC MANAGEMENT, LLC

  • 19065 HICKORY CREEK PL

    SUITE 240

    MOKENA, IL 604488507

    Phone: (708) 478-6417

    Fax: (708) 535-8087

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60448)

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Reviews

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Frequently asked questions

What federal number belongs to MIDWEST DIAGNOSTIC MANAGEMENT, LLC?
The federal identifier for MIDWEST DIAGNOSTIC MANAGEMENT, LLC is NPI 1003933920.
Is MIDWEST DIAGNOSTIC MANAGEMENT, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MIDWEST DIAGNOSTIC MANAGEMENT, LLC work in?
You can think of MIDWEST DIAGNOSTIC MANAGEMENT, LLC as practicing within Exclusive Provider Organization. Clinical services aligned with this taxonomy classification.
Where is MIDWEST DIAGNOSTIC MANAGEMENT, LLC's primary listing?
We display Mokena, Illinois because that is what the record indicates for MIDWEST DIAGNOSTIC MANAGEMENT, LLC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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