Organization
ELMHURST RADIOLOGISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLD WEINBERG MD (PRESIDENT)
(630) 833-1400
Entity
Organization
Contact information
Practice address
200 N BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
200 N BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM3874
PALMETTO GBA
IL
Enumeration date
08/14/2006
Last updated
11/13/2007
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