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Contact Information

JOLIET RADIOLOGICAL SERVICE CORP
333 N MADISON ST
JOLIET, IL60435
 Phone: 815-741-7215
 Fax: 815-741-7591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JOLIET RADIOLOGICAL SERVICE CORP · (Female)

NPI # 1295846343
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 10/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 042000027
  • IL Other 9915352 BLUE SHIELD
  • IL Other N200013 HARMONY
  • IL Other CN3011 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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