Southwest Radiologist Joint Vtr

LBN: Southwest Radiologist Joint Vtr
Southwest Radiologist Joint Vtr is an health care organization with primary practice located at 5550 W 111Th St , Oak Lawn IL 60453-5012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southwest Radiologist Joint Vtr can be contacted via phone (708) 636-0633, or through Mancuso, Patty via phone (708) 388-0423.

Contact Information

Primary practice address
5550 W 111Th St Oak Lawn IL 60453-5012
Fax: (708) 636-0689
Website:
Authorized official contact:
Name: Mancuso, Patty

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1316989973
LBN Legal business name Southwest Radiologist Joint Vtr
DBA Doing business as
Authorized official Mancuso, Patty
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316989973 NPPES
Illinois Other CB4562 TRAVELERS MEDICARE GRP
Illinois Other 01617844 TRAVELERS MEDICARE GRP

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