Organization
MEDRAD CLINICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH UZOMA EKECHUKWU MD, MPH, FACP (PRESIDENT)
(630) 967-4997
Entity
Organization
Contact information
Practice address
1225 HARLEM AVE, FOREST PARK, IL 60130-2407
(708) 657-4540
(708) 657-4535
Mailing address
1225 HARLEM AVE, FOREST PARK, IL 60130-2407
(708) 657-4540
(708) 657-4535
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
042.617504
IL
261QR0200X
Radiology Clinic/Center
Primary
042.617504
IL
Other
Enumeration date
08/01/2009
Last updated
07/21/2022
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