Organization
ADDISON RADIOLOGY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PORADA M.D. (CHAIRMAN)
(773) 282-7000
Entity
Organization
Contact information
Practice address
OUR LADY OF THE RESURRECTION MEDICAL CENTER, 5645 W. ADDISON STREET, CHICAGO, IL 60634
(773) 282-7000
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
06/29/2006
Last updated
11/26/2007
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