Organization
CHICAGO RIDGE MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALECIA P GIUNTA (PRESIDENT)
(708) 738-5332
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 423-1819
(708) 423-4788
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 423-1819
(708) 423-4788
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
9254198
IL
Other
Enumeration date
03/13/2015
Last updated
01/15/2020
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