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NPI Code Detail

MEDICARE: ATLANTIC DIAGNOSTIC CENTER PA

MEDICARE: ATLANTIC DIAGNOSTIC CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician20123NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CB3996OTHERNCMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275578114
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC DIAGNOSTIC CENTER PA
Provider Business Mailing Address
First Line : 14089 COLLECTIONS CENTER DR
Second Line :
City : CHICAGO
State : IL
Zip : 60693-0140
Country : US
Telephone Number : 910-791-6609
Fax Number :
Provider Business Practice Location Address
First Line : 14089 COLLECTIONS CENTER DR
Second Line :
City : CHICAGO
State : IL
Zip : 60693-0140
Country : US
Telephone Number : 910-791-6609
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : FRANCIS ANTHONY FERRARO
Credential : MD
Telephone Number : 910-791-6609
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/09/2010

Similar Medicare Providers

1255373023 — ATLANTIC DIAGNOSTIC CENTER PA
Practice Location Address:
14089 COLLECTION CENTER DR
CHICAGO, IL
60693-0140
Practice Phone: 910-791-6609
Practice Fax:
1417054057 — MICHAEL LOUIS KERNER MD
Practice Location Address:
14089 COLLECTION CENTER DR
CHICAGO, IL
60693-0140
Practice Phone: 919-479-9993
Practice Fax: 919-479-9996
1245230309 — ROBERT NATHAN STEIN MD
Practice Location Address:
62647 COLLECTION CENTER DR
CHICAGO, IL
60693-0626
Practice Phone: 708-424-9710
Practice Fax:
1871622233 — MR. PETER R. DROSTE PT
Practice Location Address:
33377 COLLECTION CENTER DR
CHICAGO, IL
60693-0917
Practice Phone: 617-284-9418
Practice Fax: 617-702-9500
1063607125 — ALLIANCE ONCOLOGY LLC
Practice Location Address:
15055 COLLECTION CENTER DR
CHICAGO, IL
60693-0150
Practice Phone: 256-383-3325
Practice Fax: 256-383-5911
1033367248 — MEDICAL OUTSOURCING SERVICES, LLC
Practice Location Address:
15477 COLLECTION CENTER DR
CHICAGO, IL
60693-0001
Practice Phone: 800-544-3215
Practice Fax:

Directions to “ATLANTIC DIAGNOSTIC CENTER PA ” Practice Location

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