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Contact Information

MEDRAD CLINICS, SC
1225 HARLEM AVE
FOREST PARK, IL60130-2407
 Phone: 708-657-4540
 Fax: 708-657-4535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for MEDRAD CLINICS, SC

NPI Number 1780815241
LBN Legal business name MEDRAD CLINICS, SC
Authorized official KENNETH EKECHUKWU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2009
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL License # 042.617504
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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