| Chicago Ridge Radiology Sc | |
|
9830 Ridgeland Ave Ste 3 Chicago Ridge IL 60415-2667 | |
| (708) 423-1819 | |
| (708) 423-4788 |
| Full Name | Chicago Ridge Radiology Sc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9830 Ridgeland Ave, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Abdul Amine (VICE PRESIDENT) |
| Authorized Official Contact | 7084303350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Ridge Radiology Sc 2448 S 102nd St Ste 125 West Allis WI 53227-2466 Ph: (414) 328-3800 | Chicago Ridge Radiology Sc 9830 Ridgeland Ave Ste 3 Chicago Ridge IL 60415-2667 Ph: (708) 423-1819 |
| NPI Number | 1801124292 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801124292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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