Organization
DR. SWARTZ IMAGING OF ILLINOIS
Active
Other names
National Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURY L ROSENBERG (PRESIDENT)
(410) 360-2233
Entity
Organization
Contact information
Practice address
8618 W GOLF RD # 8620, NILES, IL 60714-5600
(410) 360-2233
(410) 360-2234
Mailing address
PO BOX 768, NEW YORK, NY 10018-0025
(410) 360-2233
(410) 360-2234
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633112
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/31/2006
Last updated
10/21/2010
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