EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC; NPI #1538350681

Contact Information

EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC

4801 SOUTHWICK DR
SUITE 101
MATTESON, IL 60443-2254

Phone: 708-481-9300
Fax: 708-491-9320
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC

NPI #	`1538350681`
LBN Legal business name	EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC
Authorized official	ANN KACZOR - (BILLING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/05/2007
Last updated	08/05/2007 - About 19 years ago
Identifiers	n/a

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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