Organization
HEARTLAND RADIOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A TRESCHUK-BAHN MD (PRESIDENT)
(618) 242-2317
Entity
Organization
Contact information
Practice address
502 W ST LOUIS ST, WEST FRANKFORT, IL 62896-1957
(618) 937-4895
(618) 937-4916
Mailing address
4227 LINCOLNSHIRE DR, MOUNT VERNON, IL 62864-2157
(618) 242-2317
(618) 242-9710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9256833
IL
Other
Enumeration date
01/26/2006
Last updated
08/22/2020
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