Provider Demographics
NPI:1285475509
Name:IMAGO DEI LLC
Entity type:Organization
Organization Name:IMAGO DEI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:MA,MATS,DMIN
Authorized Official - Phone:773-255-8885
Mailing Address - Street 1:17732 OAK PARK AVE STE J
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2064
Mailing Address - Country:US
Mailing Address - Phone:773-255-8885
Mailing Address - Fax:
Practice Address - Street 1:17732 OAK PARK AVE STE J
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2064
Practice Address - Country:US
Practice Address - Phone:773-255-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management