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Joseph Ben Mallory, MD
Diagnostic Radiology Physician in Ottawa, Illinois
NPI 1649367251

Joseph Ben Mallory is a Diagnostic Radiology Physician based in Ottawa, IL and is specialized in Diagnostic Radiology. Joseph Ben Mallory practices in Ottawa, IL and has the professional credentials of MD. The NPI Number for Joseph Ben Mallory is 1649367251 and holds a License No. (Illinois).

The current practice location address for Joseph Ben Mallory is 1100 E Norris Dr, Ottawa, IL and can be reached out via phone at 815-434-8890.

Location: 1100 E Norris Dr, Ottawa, IL, 61350-7026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649367251
Provider Name
Joseph Ben Mallory
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 E Norris Dr, Ottawa, IL, 61350-7026
Phone Number
815-434-8890
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05032053 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
1100 E Norris Dr
City
Ottawa
State
Illinois
Zip
61350-1604
Phone Number
815-434-8890
Fax Number
person
Provider Business Mailing Address Details
Address
1100 E Norris Dr
City
Ottawa
State
Illinois
Zip
61350-1604
Phone Number
815-434-8890
Fax Number
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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