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General NPI Number Information
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NPI Number | 1134520950
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Entity Type | Organization
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Legal Business Name | HIGHPOINT MEDICAL IMAGING OF CHICAGO RIDGE, LLC
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 9830 RIDGELAND AVE SUITE 4
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2667
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Country | US
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Telephone | 708-423-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 9830 RIDGELAND AVE SUITE 4
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2667
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Country | US
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Telephone | 708-423-1819
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MS. ALECIA GIUNTA
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Credential |
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Telephone | 708-423-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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