Organization
JOLIET RADIOLOGICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ARTHOFER MD (MD PRES OF CORP)
(815) 741-7215
Entity
Organization
Contact information
Practice address
333 N MADISON ST, JOLIET, IL 60435
(815) 741-7215
(815) 741-7591
Mailing address
333 N MADISON ST, JOLIET, IL 60435
(815) 741-7215
(815) 741-7591
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042000027
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9915352
BLUE SHIELD
IL
01
—
CN3011
RAILROAD MEDICARE
IL
01
—
N200013
HARMONY
IL
Enumeration date
08/31/2006
Last updated
10/29/2019
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