# SAH RADIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT ANTHONY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346075447
- **Legal business name:** SAINT ANTHONY HOSPITAL
- **Authorized official:** ROSE ROSARIO (AUTHORIZED OFFICIAL DTR RCM PFS)
- **Authorized official phone:** (773) 484-1000

## Contact information

- **Practice address:** 2875 W 19TH ST, CHICAGO, IL 60623-3501
- **Practice address phone:** (773) 484-1000
- **Mailing address:** 1340 S DAMEN AVE, CHICAGO, IL 60608-1169
- **Mailing address phone:** (773) 484-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2024
- **Last updated:** 09/06/2024