Edgebrook Radiology

LBN: Edgebrook Radiology Management
Edgebrook Radiology is an health care organization with primary practice located at 5320 W Devon Ave , Chicago IL 60646-4108. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Edgebrook Radiology Management can be contacted via phone (773) 774-6440, or through Nellamathatil, George via phone (773) 774-6440.

Contact Information

Primary practice address
5320 W Devon Ave Chicago IL 60646-4108
Phone: (773) 774-6440
Fax: (773) 774-4372
Website:
Map and Directions
Authorized official contact:
Name: Nellamathatil, George
Phone: (773) 774-6440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X Illinois

Profile Details

NPI number 1821045659
LBN Legal business name Edgebrook Radiology Management
DBA Doing business as Edgebrook Radiology
Authorized official Nellamathatil, George
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Apr 13th, 2009 - about 17 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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