Southwest Radiologist Joint Vtr
Southwest Radiologist Joint Vtr provides Diagnostic Radiology Physician services in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5550 W 111th StOak Lawn, IL 60453-5012
Phone: (708) 636-0633
Fax: (708) 636-0689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X (IL) |
|---|
Record details
| NPI number | 1316989973 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patty Mancuso — Office Manager · (708) 388-0423 |
| NPI enumerated | June 11, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 3300 127th St, 2nd Floor, Blue Island, IL 60406-3802 |
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