WEST SUBURBAN RADIOLOGY & ULTRASOUND PC NPI 1083891865

NPI Information

NPI: 1083891865
Provider Name: WEST SUBURBAN RADIOLOGY & ULTRASOUND PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3304 GROVE AVE
BERWYN, IL
ZIP 60402
Phone: (708) 795-1655
Get Directions

WEST SUBURBAN RADIOLOGY & ULTRASOUND PC is a diagnostic radiology radiology in Berwyn, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WEST SUBURBAN RADIOLOGY & ULTRASOUND PC NPI is 1083891865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3304 GROVE AVE
BERWYN, IL
ZIP 60402-448
Phone: (708) 795-1655
Fax: (708) 795-1664

The provider's authorized official is Robert Alan Marshall .
The authorized official title is Owner and has the following contact phone number (708) 795-1655.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 3/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	237100	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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