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Organization

MIDWEST RADIOLOGY ASSOCIATES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH J. PORADA M.D. (CHAIRMAN)
(773) 736-7000
Entity
Organization

Contact information

Practice address
6130 N SHERIDAN RD, VENCOR HOSPITAL - LAKESHORE, CHICAGO, IL 60660-2830
(773) 736-7000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
06/30/2006
Last updated
11/26/2007
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