Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Midwest Interventional Radiology, LLC

Organization Vascular & Interventional Radiology Physician · NPI 1114438769

Advanced Midwest Interventional Radiology, LLC is a Vascular & Interventional Radiology Physician in New Lenox, Illinois. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1890 Silver Cross Blvd Ste 450
New Lenox, IL 60451-9518
Phone: (815) 900-9060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1114438769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarra Grant — Practice Manager · (815) 900-9060
NPI enumeratedOctober 21, 2017
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address3010 Highland Pkwy Ste 325, Downers Grove, IL 60515-5670

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