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Suburban Xray
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Medinah, Illinois
NPI 1467590471

Suburban Xray is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Medinah, IL. Suburban Xray practices in Medinah, IL. The NPI Number for Suburban Xray is 1467590471 and holds a License No. 58494275 (Illinois).

The current practice location address for Suburban Xray is 7 N 130 Medinah Rd, Medinah, IL and can be reached out via phone at 630-529-0077 and via fax at 630-529-0087.

Location: 7 N 130 Medinah Rd, Medinah, IL, 60157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467590471
Provider Name
Suburban Xray
Credential
Provider Entity Type
Organization
Address
7 N 130 Medinah Rd, Medinah, IL, 60157
Phone Number
630-529-0077
Fax Number
630-529-0087
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07223234 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7 N 130 Medinah Rd
City
Medinah
State
Illinois
Zip
60157
Phone Number
630-529-0077
Fax Number
630-529-0087
person
Provider Business Mailing Address Details
Address
7 N 130 Medinah Rd
City
Medinah
State
Illinois
Zip
60157
Phone Number
630-529-0077
Fax Number
630-529-0087
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
58494275 (Illinois)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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