ILLINOIS VALLEY RADIOLOGY NPI 1124027826

NPI Information

ILLINOIS VALLEY RADIOLOGY is a diagnostic radiology radiology in Streator, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ILLINOIS VALLEY RADIOLOGY NPI is 1124027826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 SPRING ST
STREATOR, IL
ZIP 61364-332
Phone: (815) 673-2311

The provider's authorized official is Mark Hilborn .
The authorized official title is President and has the following contact phone number (815) 673-2311.

The CLIA number assigned to this NPI record is 14D2011211 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/20/2008.

Taxonomy Codes

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Other Identifiers

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