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Contact Information

EDWARD HOSPITAL IMAGING CENTER BOLINGBROOK
130 N WEBER RD
BOLINGBROOK, IL60440-1518
 Phone: 630-646-5770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for EDWARD HOSPITAL IMAGING CENTER BOLINGBROOK

NPI Number 1881910719
LBN Legal business name EDWARD HOSPITAL IMAGING CENTER BOLINGBROOK
Authorized official PAM DAVIS - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2010
Last updated 04/16/2010 - About 16 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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