# ELMHURST MEMORIAL INTERVENTIONAL RADIOLOGY SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669641080
- **Authorized official:** ANDREW S BLUM M.D. (PRESIDENT)
- **Authorized official phone:** (630) 833-1400

## Contact information

- **Practice address:** 200 N BERTEAU AVE, ELMHURST, IL 60126-2966
- **Practice address phone:** (630) 833-1400
- **Mailing address:** 520 E 22ND ST, LOMBARD, IL 60148-6110
- **Mailing address phone:** (630) 874-2542
- **Mailing address fax:** (630) 960-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 02/29/2008