Maryville Radiology Group, Ltd in Maryville - Diagnostic Radiology
Maryville Radiology Group, Ltd - NPI 1497773063
Maryville Radiology Group, Ltd is a Diagnostic Radiology in Maryville, Illinois. Maryville Radiology Group, Ltd practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Maryville Radiology Group, Ltd is 1497773063. The last update date is 2020-02-12.
Maryville Radiology Group, Ltd's current location address is Illinois Route 162, Maryville, Illinois. You can contact this provider via phone number 6182885711. The mailing address for Maryville Radiology Group, Ltd is Illinois Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryville Radiology Group, Ltd |
|---|---|
| Address | Illinois Route 162, Maryville, Illinois |
| Phone Number | 6182885711 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burk Terry |
| Credentials | MD |
| Telephone Number | 6182885711 |
NPI Number Detail
| NPI Number | 1497773063 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2020-02-12 |
Provider Mailing Address Detail
| Address | Illinois Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 62062 |
| Phone Number | 6182885711 |
| Fax Number |
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 |
|---|---|---|---|
| 149856 | MO | BCBS | |
| 6010052 | IL | BCBS | |
| 99693 | GHP |
Post Comment/ Review Below
What is the Maryville Radiology Group, Ltd's 1497773063?
The Maryville Radiology Group, Ltd's NPI (National Provider Identifier) Number is 1497773063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Maryville Radiology Group, Ltd?
The Maryville Radiology Group, Ltd is physically situated at Illinois Route 162, in the city of Maryville, state of IL, with the postal code 62062.
What is Maryville Radiology Group, Ltd's area of expertise and its corresponding taxonomy classification?
The Maryville Radiology Group, Ltd's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1497773063 assigned to Maryville Radiology Group, Ltd?
The Maryville Radiology Group, Ltd was issued its 1497773063 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Maryville Radiology Group, Ltd last refreshed?
The information related to the Maryville Radiology Group, Ltd, including its address, specialty, and other relevant details, was last updated on 2020-02-12.
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