Organization
DES PLAINES RADIOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BITNER CPC (MANAGER)
(630) 654-6503
Entity
Organization
Contact information
Practice address
1455 GOLF RD, SUITE 212, DES PLAINES, IL 60016
(847) 297-1800
(630) 323-1699
Mailing address
6910 S MADISON, WILLOWBROOK, IL 60527
(630) 654-6509
(630) 323-1699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0576
RR MEDICARE
—
01
—
GR1615479
BCBS
—
Enumeration date
08/29/2006
Last updated
08/22/2020
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