Galesburg Radiology Associates, S.c., NPI 1285667311
Diagnostic Radiology Physician in Galesburg, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285667311
NPI Entity Type Organization
Provider Name Galesburg Radiology Associates, S.c.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 695 N Kellogg St, Galesburg, IL, US
Provider Mailing Address Po Box 1093, Bedford Park, IL, US, 604991093
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Subbia Jagannathan
Official Position PRESIDENT
Phone 877-852-4669

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

Galesburg Radiology Associates, S.c.
695 N Kellogg St

Galesburg, IL, US

Phone: 877-852-4669

Mailing Address

Galesburg Radiology Associates, S.c.
Po Box 1093
Bedford Park, IL, US
ZIP 604991093
Phone: 877-852-4669

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
04815047 IL BLUE CROSS BLUE SHIELD 01
CM2090 IL RAILROAD MEDICARE 01

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