Ft Jesse Imaging Center LLC
Ft Jesse Imaging Center LLC is a Diagnostic Radiology Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2200 Fort Jesse Rd Ste 130Normal, IL 61761-6286
Phone: (309) 454-5552
Fax: (309) 454-5452
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X · Licence 9256804 (IL) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X |
| Mammography Clinic/Center | Taxonomy 261QR0206X · Licence 9256804 (IL) |
Record details
| NPI number | 1245287143 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Stout — President/Ceo · (615) 261-2306 |
| NPI enumerated | May 27, 2006 |
| Last updated in NPPES | December 16, 2025 |
| Certification date | December 16, 2025 |
| Mailing address | 2200 Fort Jesse Rd, Suite 130, Normal, IL 61761-6286 |
Other providers in Normal
-
April L Dickenson, MD
1304 Franklin Ave, Normal, IL 61761-3558 · (309) 268-3427
-
Nicholas Florence, MD
1300 Franklin Ave, Normal, IL 61761-3592 · (309) 454-1400
-
Dr. Jonathan M Foss, MD
2200 Fort Jesse Rd, Normal, IL 61761-6286 · (309) 452-1788
-
Ft Jesse Imaging Center LLC
2200 Fort Jesse Rd, Normal, IL 61761-6286 · (309) 454-5552
-
Dr. Ishwar Jagasia, MD
2200 Fort Jesse Rd Ste 280, Normal, IL 61761-6286 · (309) 452-1788
-
Pooria Javadi, MD
2200 Fort Jesse Rd Ste 280, Normal, IL 61761-6286 · (309) 452-1788
-
Dr. William L Ray, MD
2200 Fort Jesse Rd Ste 280, Normal, IL 61761-6286 · (309) 452-1788
-
Dr. Thanh Cam Trieu, MD
1304 Franklin Ave, Normal, IL 61761-3558 · (309) 454-1400