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Organization

PROFESSIONAL RADIOLOGY AND EDX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT RODRIGUEZ (PRESIDENT)
(321) 445-8218
Entity
Organization

Contact information

Practice address
655 W IRVING PARK RD, APT 2602, CHICAGO, IL 60613-3123
(321) 445-8218
Mailing address
655 W IRVING PARK RD, APT 2602, CHICAGO, IL 60613-3123
(321) 445-8218

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
About Stedi
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  • EDI platform