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Contact Information

CHICAGO RIDGE RADIOLOGY, S.C.
9830 RIDGELAND AVE
SUITE 4
CHICAGO RIDGE, IL60415-2667
 Phone: 708-423-1819
 Fax: 708-423-4788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for CHICAGO RIDGE RADIOLOGY, S.C.

NPI # 1679838320
LBN Legal business name CHICAGO RIDGE RADIOLOGY, S.C.
Authorized official AATIF RAHMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2012
Last updated 07/09/2012 - About 14 years ago
Identifiers
IL Other 1548282114 NPI
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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