Northeast Radiology Associates, S.C.

LBN: Northeast Radiology Associates, S.C.
Northeast Radiology Associates, S.C. is an health care organization with primary practice located at 660 N Westmoreland Rd Radiology Department, Lake Forest IL 60045-1659. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Northeast Radiology Associates, S.C. can be contacted via phone (847) 535-6313, or through Debruin, Ronald via phone (847) 535-6313.

Contact Information

Primary practice address
660 N Westmoreland Rd Radiology Department Lake Forest IL 60045-1659
Phone: (847) 535-6313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Debruin, Ronald Doctor of Medicine (MD)
Phone: (847) 535-6313

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1033206271
LBN Legal business name Northeast Radiology Associates, S.C.
DBA Doing business as
Authorized official Debruin, Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Oct 26th, 2007 - about 19 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 1033206271 NPPES
Illinois Other 4923631 BCBS ID
Illinois Other CH1744 BCBS ID

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