Radrad Group of Il Sc

NPI #1932803145 in Elgin, Illinois

Provider Information

NPI Number
1932803145
Entity Type
Organization
Organization Name
Radrad Group of Il Sc
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Mar 30, 2023
Last Updated
Jun 2, 2023

Practice Location

Address
500 N MCLEAN BLVD # 103
City
Elgin
ZIP Code
60123-3275
Phone
(224) 227-6178

Authorized Official

Name
DR. TENNYSON MALIRO, MD
Title
OWNER/PROVIDER/AUTHORIZED REP
Phone
(301) 503-9055

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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