Professional Radiology and Edx LLC

NPI #1295031706 in Chicago, Illinois

Provider Information

NPI Number: 1295031706
Entity Type: Organization
Organization Name: Professional Radiology and Edx LLC
Primary Specialty: Specialist
Enumeration Date: Jan 31, 2011
Last Updated: Jan 31, 2011

Practice Location

Address: 655 W IRVING PARK RD
Address 2: APT 2602
City: Chicago
State: Illinois
ZIP Code: 60613-3123
Phone: (321) 445-8218

Authorized Official

Name: MR. ROBERT RODRIGUEZ
Title: PRESIDENT
Phone: (321) 445-8218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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