Organization
EDGEBROOK RADIOLOGY MANAGEMENT
Active
Other names
EDGEBROOK RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NELLAMATHATIL (DIRECTOR)
(773) 774-6440
Entity
Organization
Contact information
Practice address
2410 S RIVER RD, DES PLAINES, IL 60018-3201
(773) 774-6440
(773) 774-4372
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
IL
Other
Enumeration date
05/27/2006
Last updated
08/16/2024
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