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Organization
VILLAGE IMAGAING PROFESSIONAL LLC
Active
Organization
VILLAGE IMAGAING PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CONNOLLY M.D. (CHARIMAN)
(312) 770-3990
Entity
Organization
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-3043
(312) 770-3990
Mailing address
2233 W DIVISION ST, CHICAGO, IL 60622-3043
(312) 770-3990
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
NULL
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
NULL
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
NULL
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
NULL
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/20/2006
Last updated
10/18/2010
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