Organization
PARKSIDE IMAGING SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASER RUSTOM M.D (PRESIDENT)
(773) 581-5600
Entity
Organization
Contact information
Practice address
400 HIGGINS RD, PARK RIDGE, IL 60068-5751
(847) 268-8900
(847) 268-8241
Mailing address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 581-5600
(773) 581-5608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
12/30/2011
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