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MIDWEST RADIOLOGY ASSOCIATES SC NPI 1114955622


NPI Information

NPI: 1114955622
Provider Name: MIDWEST RADIOLOGY ASSOCIATES SC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6130 N SHERIDAN RD
VENCOR HOSPITAL - LAKESHORE
CHICAGO, IL
ZIP 60660
Phone: (773) 736-7000
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MIDWEST RADIOLOGY ASSOCIATES SC is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MIDWEST RADIOLOGY ASSOCIATES SC NPI is 1114955622. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6130 N SHERIDAN RD
VENCOR HOSPITAL - LAKESHORE
CHICAGO, IL
ZIP 60660-830
Phone: (773) 736-7000

The provider's authorized official is Joseph J. Porada .
The authorized official title is Chairman and has the following contact phone number (773) 736-7000.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/26/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203139MEDICARE PINILLINOIS
2CK4488MEDICARE PINILLINOIS
3399370MEDICARE PINILLINOIS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.