Organization
TRIUMPH RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL S CHELLAPPA (PRESIDENT)
(815) 741-4148
Entity
Organization
Contact information
Practice address
2121 ONEIDA ST, JOLIET, IL 60435-6544
(815) 741-4148
(815) 741-4686
Mailing address
1802 DIVISON ST, SUITE 605, MORRIS, IL 60450-3133
(815) 741-4148
(815) 741-4686
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
244359
IL
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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