CHICAGO RIDGE RADIOLOGY SC – NPI #1801124292
Clinic/Center

CHICAGO RIDGE RADIOLOGY SC is an AHC clinic located in CHICAGO RIDGE, IL. NPPES has assigned the NPI number 1801124292 to CHICAGO RIDGE RADIOLOGY SC on November 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 16 years ago on Mar 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICAGO RIDGE RADIOLOGY SC below.

NPI Profile for
CHICAGO RIDGE RADIOLOGY SC

NPI Number
1801124292
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHICAGO RIDGE RADIOLOGY SC
Primary location
9830 RIDGELAND AVE
STE 3
CHICAGO RIDGE, IL 60415-2667
Phone: (708) 423-1819 Fax: (708) 423-4788
Mailing address
2448 S 102ND ST
STE 125
WEST ALLIS, WI 53227-2466
Phone: (414) 328-3800 Fax: (414) 328-3818
Organization Subpart
No
Authorized Official
ABDUL AMINE
VICE PRESIDENT
Phone: (708) 430-3350
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.