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General NPI Number Information
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NPI Number | 1124933247
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Entity Type | Organization
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Legal Business Name | PREMIER RADIOLOGY SERVICES ILLINOIS S.C.
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 629A E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3517
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Country | US
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Telephone | 866-957-1106
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Fax |
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Provider Business Mailing Address
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Address Line | 629A E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | ROMINA D'ANDREA
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Credential |
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Telephone | 908-230-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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