Organization Name: | WEST SUBURBAN RADIOLOGY & ULTRASOUND PC |
NPI Number: | 1083891865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ALAN MARSHALL (OWNER) |
Mailing Address: | 3304 Grove Ave Berwyn |
State: | IL US |
Postal Code: | 604023448 |
Phone Number: | 7087951655 |
Fax Number: | 7087951664 |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |