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Contact Information

BERWYN IMAGING LLC
6728 CERMAK RD
BERWYN, IL60402-2217
 Phone: 708-788-8900
 Fax: 708-788-5110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for BERWYN IMAGING LLC

NPI # 1922456474
LBN Legal business name BERWYN IMAGING LLC
Authorized official MARVIN TAZELAAR - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2016
Last updated 10/19/2016 - About 10 years ago
Identifiers
IL Other 7087888900 TELEPHONE
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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