MIDWEST RADIOLOGY ILLINOIS LTD NPI 1770795718

NPI Information

NPI: 1770795718
Provider Name: MIDWEST RADIOLOGY ILLINOIS, LTD
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
4955 N MILWAUKEE AVE
SUITE 8
CHICAGO, IL
ZIP 60630
Phone: (773) 736-6283
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MIDWEST RADIOLOGY ILLINOIS, LTD is a radiology and mobile clinic center in Chicago, IL. MIDWEST RADIOLOGY ILLINOIS, LTD NPI is 1770795718. The provider is registered as an organization entity type.

The provider's business location address is:

4955 N MILWAUKEE AVE
SUITE 8
CHICAGO, IL
ZIP 60630-286
Phone: (773) 736-6283
Fax: (773) 736-1403

The provider's authorized official is Pierre Elie Chatelain .
The authorized official title is President and has the following contact phone number (630) 209-8405.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

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	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

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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