Organization
EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC
Active
Other names
MATTESON MRI
Organization subpart
No
Provider details
NPI number
Authorized official
ANN KACZOR (BILLING MANAGER)
(847) 870-3600
Entity
Organization
Contact information
Practice address
4801 SOUTHWICK DR, SUITE 101, MATTESON, IL 60443-2254
(708) 481-9300
(708) 491-9320
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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