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Organization
SAH RADIOLOGY LLC
Active
Organization
SAH RADIOLOGY LLC
Active
Parent organization
SAINT ANTHONY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ANTHONY HOSPITAL
Authorized official
ROSE ROSARIO (AUTHORIZED OFFICIAL DTR RCM PFS)
(773) 484-1000
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(773) 484-1000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
—
NULL
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
247100000X
Radiologic Technologist
—
NULL
247100000X
Radiologic Technologist
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
NULL
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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