Southwest Radiologist Joint Vtr in Oak Lawn - Diagnostic Radiology

Southwest Radiologist Joint Vtr - NPI 1316989973

Southwest Radiologist Joint Vtr is a Diagnostic Radiology in Oak Lawn, Illinois. Southwest Radiologist Joint Vtr practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Southwest Radiologist Joint Vtr is 1316989973. The last update date is 2022-07-21.

Southwest Radiologist Joint Vtr's current location address is 5550 W 111th St, Oak Lawn, Illinois. You can contact this provider via phone number 7086360633 and fax number 7086360689. The mailing address for Southwest Radiologist Joint Vtr is 5550 W 111th St, Oak Lawn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southwest Radiologist Joint Vtr
Address 5550 W 111th St, Oak Lawn, Illinois
Phone Number 7086360633
Fax Number 7086360689
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Mancuso Patty
Telephone Number 7083880423

NPI Number Detail

NPI Number 1316989973
Provider Enumeration Date 2006-06-11
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 5550 W 111th St
City Oak Lawn
State Illinois (IL)
Post Code 604535012
Phone Number 7086360633
Fax Number 7086360689

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CB4562 IL TRAVELERS MEDICARE GRP
1617844 IL BCBS GROUP

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FAQs about Southwest Radiologist Joint Vtr

What is the unique provider identifier assigned to Southwest Radiologist Joint Vtr?

The Southwest Radiologist Joint Vtr has been issued the NPI (National Provider Identifier) 1316989973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Southwest Radiologist Joint Vtr is located?

The Southwest Radiologist Joint Vtr is situated at the following address: 5550 W 111Th St, Oak Lawn, IL, 604535012.

What is the Southwest Radiologist Joint Vtr's area of specialization and corresponding taxonomy classification?

The Southwest Radiologist Joint Vtr's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Southwest Radiologist Joint Vtr receive the assignment of its 1316989973 from the Centers for Medicare & Medicaid Services?

The Southwest Radiologist Joint Vtr was issued its 1316989973 by the Centers for Medicare & Medicaid Services on 2006-06-11.

When was the information regarding Southwest Radiologist Joint Vtr, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southwest Radiologist Joint Vtr, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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