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ASSOCIATED ST JAMES RADIOLOGISTS SC NPI 1982709135


NPI Information

NPI: 1982709135
Provider Name: ASSOCIATED ST JAMES RADIOLOGISTS SC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1423 CHICAGO RD
RADIOLOGY DEPARTMENT
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 756-1000
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ASSOCIATED ST JAMES RADIOLOGISTS SC is a diagnostic radiology radiology in Chicago Heights, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ASSOCIATED ST JAMES RADIOLOGISTS SC NPI is 1982709135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1423 CHICAGO RD
RADIOLOGY DEPARTMENT
CHICAGO HEIGHTS, IL
ZIP 60411-400
Phone: (708) 756-1000

The provider's authorized official is Gregg S Coccaro .
The authorized official title is President and has the following contact phone number (708) 756-1000.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 12/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA8284OTHERILLINOISRAILROAD
21618334OTHERILLINOISBCBS ID
3N244858OTHERILLINOISHARMONY
4904950MEDICARE PINILLINOIS
5215677MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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