Provider Demographics
NPI:1275418444
Name:UNITED THERANOSTICS ILLINOIS
Entity type:Organization
Organization Name:UNITED THERANOSTICS ILLINOIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RCM AND CREDENTIALING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RCM
Authorized Official - Phone:301-450-2095
Mailing Address - Street 1:PO BOX 3338
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 MCCONNOR PKWY STE 101A
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4399
Practice Address - Country:US
Practice Address - Phone:443-333-1894
Practice Address - Fax:443-839-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty