CHICAGO RIDGE MEDICAL IMAGING, LLC; NPI #1841683802

Contact Information

CHICAGO RIDGE MEDICAL IMAGING, LLC

9830 RIDGELAND AVE
CHICAGO RIDGE, IL 60415

Phone: 708-423-1819
Fax:
Website: http://chicagoridgemedicalimaging.com

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

Indicates primary specialty

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NPI Profile & details for CHICAGO RIDGE MEDICAL IMAGING, LLC

NPI # 1841683802

LBN Legal business name CHICAGO RIDGE MEDICAL IMAGING, LLC

Authorized official ALECIA GIUNTA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2015

Last updated 01/15/2020 - About 6 years ago

Identifiers

License #

9254198

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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