Provider Demographics
NPI:1316094600
Name:YORKVILLE IMAGING LLC
Entity type:Organization
Organization Name:YORKVILLE IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:DRATHS-HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-748-3674
Mailing Address - Street 1:88 WEST COUNTRYSIDE PKWY
Mailing Address - Street 2:#A
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-2010
Mailing Address - Country:US
Mailing Address - Phone:815-748-3674
Mailing Address - Fax:815-748-3673
Practice Address - Street 1:88 WEST COUNTRYSIDE PKWY
Practice Address - Street 2:#A
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2010
Practice Address - Country:US
Practice Address - Phone:815-748-3674
Practice Address - Fax:815-748-3673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology