Organization
VILLAGE RADIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO BANNON (OFFICE MANAGER)
(708) 386-6565
Entity
Organization
Contact information
Practice address
3 ERIE COURT, WEST SUBURBAN HOSPITAL, OAK PARK, IL 60302-2519
(708) 386-6565
(708) 386-6589
Mailing address
121 N MARION ST, VILLAGE RADIOLOGY LTD, OAK PARK, IL 60301-1166
(708) 386-6565
(708) 386-6589
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
10/08/2006
Last updated
02/05/2008
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