| Organization Name: | GEORGIA RADIOLOGY IMAGING CONSULTANTS, LLC |
| NPI Number: | 1831461771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE W DWORCHAK (CFO) |
| Mailing Address: | 71 W 156th St Suite 110 Harvey |
| State: | IL US |
| Postal Code: | 604264260 |
| Phone Number: | 7089155656 |
| Fax Number: | 7089154022 |
| NPI Enumeration Date: | 02/08/2012 |
| NPI Last Update Date: | 12/19/2013 |
| 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. |