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NPI Profile for CHICAGO RIDGE RADIOLOGY SC in CHICAGO RIDGE, IL.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Neuroradiology |
2085N0700X |
| NPI Number | 1679838320 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/09/2012 | |
| Last updated | 07/09/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHICAGO RIDGE RADIOLOGY, S.C.