Organization
LAKELAND RADIOLOGISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDO C RUFFOLO DO (PRESIDENT)
(217) 345-2100
Entity
Organization
Contact information
Practice address
907 W LINCOLN AVE, CHARLESTON, IL 61920-2413
(312) 574-0076
(888) 453-0505
Mailing address
907 W LINCOLN AVE, PO BOX 770, CHARLESTON, IL 61920-2413
(217) 235-7701
(217) 345-8366
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
02/05/2014
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