Organization Name: | HIGHPOINT MEDICAL IMAGING OF CHICAGO RIDGE, LLC |
NPI Number: | 1134520950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALECIA GIUNTA (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 9830 Ridgeland Ave Suite 4 Chicago Ridge |
State: | IL US |
Postal Code: | 604152667 |
Phone Number: | 7084231819 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |