Organization Name: | INDIANA RADIOLOGY IMAGING CONSULTANTS |
NPI Number: | 1003243155 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE W. DWORCHAK (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 71 W 156th St Suite 110 Harvey |
State: | IL US |
Postal Code: | 604264260 |
Phone Number: | 7089155656 |
Fax Number: | 7089154022 |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |