Organization
CONSULTANT RADIOLOGISTS OF EVANSTON, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D CALANDRA M.D. (PRESIDENT)
(847) 316-2561
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6101
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615776
BCBS OF ILLINOIS
IL
01
—
CB9012
RR MEDICARE
IL
Enumeration date
05/23/2006
Last updated
02/22/2017
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