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Organization
ELMHURST MEMORIAL INTERVENTIONAL RADIOLOGY SERVICES LLC
Active
Organization
ELMHURST MEMORIAL INTERVENTIONAL RADIOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW S BLUM M.D. (PRESIDENT)
(630) 833-1400
Entity
Organization
Contact information
Practice address
200 N BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 960-0227
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
IL
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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