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Provena Imaging Services Inc

Diagnostic Radiology Physician in Bourbonnais, IL · enumerated 2006 · authorized official Edward Molare, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720197601

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Registry record

Entity type Organization (Type 2)
Legal business name Provena Imaging Services Inc
Other name <Unavail>
Practice address 100 Provena Way, Suite 104, Bourbonnais, IL, 60914
Phone (815) 929-5800
Fax (815) 929-5801
Enumeration date Aug 30, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Edward Molare
Title President
Phone (815) 806-2309

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Provena Imaging Services Inc?
Provena Imaging Services Inc is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.