Chicago Ridge Radiology Sc

LBN: Chicago Ridge Radiology Sc
Chicago Ridge Radiology Sc is an health care organization with primary practice located at 9830 Ridgeland Ave Ste #4, Chicago Ridge IL 60415-2667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Chicago Ridge Radiology Sc can be contacted via phone (708) 423-1819, or through Amine, Abdul via phone (708) 430-3350.

Contact Information

Primary practice address
9830 Ridgeland Ave Ste #4 Chicago Ridge IL 60415-2667
Phone: (708) 423-1819
Fax: (708) 423-4788
Website:
Map and Directions
Authorized official contact:
Name: Amine, Abdul Doctor of Medicine (MD)
Phone: (708) 430-3350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1548282114
LBN Legal business name Chicago Ridge Radiology Sc
DBA Doing business as
Authorized official Amine, Abdul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 1st, 2010 - about 16 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 1548282114 NPPES
Illinois MEDICAID 36043669

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