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Southwest Radiologist Joint Vtr
Diagnostic Radiology Physician in Oak Lawn, Illinois
NPI 1316989973

Southwest Radiologist Joint Vtr is a Diagnostic Radiology Physician based in Blue Island, IL and is specialized in Diagnostic Radiology. Southwest Radiologist Joint Vtr practices in Oak Lawn, IL. The NPI Number for Southwest Radiologist Joint Vtr is 1316989973 and holds a License No. (Illinois).

The current practice location address for Southwest Radiologist Joint Vtr is 5550 W 111Th St, Oak Lawn, IL and can be reached out via phone at 708-636-0633 and via fax at 708-636-0689.

Location: 5550 W 111Th St, Oak Lawn, IL, 60406-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316989973
Provider Name
Southwest Radiologist Joint Vtr
Credential
Provider Entity Type
Organization
Address
5550 W 111Th St, Oak Lawn, IL, 60406-3802
Phone Number
708-636-0633
Fax Number
708-636-0689
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB4562 01 IL TRAVELERS MEDICARE GRP
01617844 01 IL BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
5550 W 111Th St
City
Oak Lawn
State
Illinois
Zip
60453-5012
Phone Number
708-636-0633
Fax Number
708-636-0689
person
Provider Business Mailing Address Details
Address
5550 W 111Th St
City
Oak Lawn
State
Illinois
Zip
60453-5012
Phone Number
708-636-0633
Fax Number
708-636-0689
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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