Organization
RADIOLOGY SUBSPECIALISTS OF NORTHERN ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SARKA (CREDENTIALING SPECIALIST)
(630) 928-5234
Entity
Organization
Contact information
Practice address
825 W STATE ST, SUITE 103E, GENEVA, IL 60134-2080
(630) 208-4412
Mailing address
825 W STATE ST, SUITE 103E, GENEVA, IL 60134-2080
(630) 208-4412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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