Organization
RADIOLOGY ASSOCIATES OF ILLINOIS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SANTORE (VICE PRESIDENT)
(813) 924-1577
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(747) 293-9005
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(472) 029-2387
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
01/24/2025
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