Organization
INDIANA RADIOLOGY IMAGING CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE W. DWORCHAK (CHIEF FINANCIAL OFFICER)
(708) 915-5656
Entity
Organization
Contact information
Practice address
71 W 156TH ST, SUITE 110, HARVEY, IL 60426-4260
(708) 915-5656
(708) 915-4022
Mailing address
71 W 156TH ST, SUITE 110, HARVEY, IL 60426-4260
(708) 915-5656
(708) 915-4022
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/03/2013
Last updated
05/14/2014
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