Individual
DR. VICTOR MATEGRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1834 WALDEN OFFICE SQ, #125 OAMRI OF SCHAUMBURG LLC, SCHAUMBURG, IL 60173
(847) 397-2300
(847) 397-6140
Mailing address
1126 S 70TH ST, SUITE N500, MILWAUKEE, WI 53214
(414) 455-4780
(414) 475-2936
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376728105
NPI NEW CORP
IL
Enumeration date
07/25/2006
Last updated
02/25/2008
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