Organization
WELLINGTON RADIOLOGY GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPR NAOIMPALLI MD (DIRECTOR)
(773) 296-7820
Entity
Organization
Contact information
Practice address
836 WEST WELLINGTON AVE, CHICAGO, IL 60657
(773) 296-7820
(773) 296-7821
Mailing address
39006 TREASURY CENTER, CHICAGO, IL 60694-9000
(708) 460-7444
(708) 460-8662
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635352
BCBS
IL
Enumeration date
08/30/2006
Last updated
07/21/2022
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