| Doctor Name: | DR. MARC J ALONZO |
| NPI Number: | 1033142351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 2650 Ridge Ave Department Of Radiology, G507 Evanston, IL - 602011718 |
| Business Phone Number: | 8475702475 |
| Business Fax Number: | 8475702942 |
| Mailing Address: | 2650 Ridge Ave, Department Of Radiology, G507 EVANSTON |
| State: | IL |
| Postal Code: | 602011718 |
| Phone Number: | 8475702475 |
| Fax Number: | 8475702942 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |