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Contact Information

ELK GROVE RADIOLOGY S.C.
800 BIESTERFIELD RD
ELK GROVE VILLAGE, IL60007
 Phone: 847-437-5500
 Fax: 847-952-7912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ELK GROVE RADIOLOGY S.C.

NPI # 1386730810
LBN Legal business name ELK GROVE RADIOLOGY S.C.
Authorized official KATHLEEN KONDAS - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 08/21/2019 - About 7 years ago
Identifiers
IL Other 1635109 BLUE SHIELD OF ILLINOIS
IL Other DD3120 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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