| Organization Name: | TRIUMPH RADIOLOGY, INC. |
| NPI Number: | 1487692844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL CHELLAPPA (OWNER) |
| Mailing Address: | 1640 Willow Circle Dr Suite 400 Crest Hill |
| State: | IL US |
| Postal Code: | 604030959 |
| Phone Number: | 8157414148 |
| Fax Number: | 8157414686 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |