Organization
RADIOLOGY IMAGING SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE SARKA (OFFICE MANAGER)
(630) 928-5234
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, LITTLE COMPANY OF MARY HOSPITAL, EVERGREEN PARK, IL 60805-2701
(708) 229-5104
(630) 323-1699
Mailing address
6910 S MADISON ST, WILLOWBROOK, IL 60527-5504
(630) 321-2727
(630) 323-1699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022154
BCBS
—
Enumeration date
07/31/2006
Last updated
04/29/2015
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