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“Nuclear Radiology Physician” (Maywood, IL)

Location: Maywood, IL
Taxonomy: Nuclear Radiology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1154308039 — ROBERT WAGNER MD
Practice Location Address:
2160 S 1ST AVE (MCGAW ENT., RM 47)
MAYWOOD IL
60153
Practice Phone: 708-216-5221
1861479719 — ROBERT HENKIN MD
Practice Location Address:
2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD IL
60153
Practice Phone: 708-216-9000
1932465259 — KATHLEEN ELIZABETH DETWILER PHD, MD
Practice Location Address:
2160 S 1ST AVE LUH NORTH ENTRANCE, NUCLEAR MEDICINE
MAYWOOD IL
60153-3328
Practice Phone: 708-202-7000

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