Organization
HOSPITAL RADIOLOGY SERVICE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLE A PIACENTI M.D. (PRESIDENT)
(815) 223-5288
Entity
Organization
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5311
Mailing address
# 8 US ROUTE 6 WEST, SUITE 2, PERU, IL 61354-2943
(815) 223-5288
(815) 220-0252
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00615598
BLUE SHIELD ID
—
01
—
CC9316
RAILROAD MEDICARE
IL
Enumeration date
02/21/2007
Last updated
01/04/2008
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