Organization
UNIVERSAL RADIOLOGY LTD
Active
Other names
Universal Radiology LTD
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CARRE MD (PRESIDENT)
(773) 962-3900
Entity
Organization
Contact information
Practice address
326 WEST 64TH STREET, CHICAGO, IL 60621
(773) 962-3900
(773) 602-3849
Mailing address
2158 45TH ST. #519, HIGHLAND, IN 46322-3742
(773) 962-3900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036039380
IL
2085R0202X
Diagnostic Radiology Physician
036065253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039380
—
IL
05
—
036065253
—
IL
Enumeration date
04/17/2007
Last updated
07/03/2017
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