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General NPI Number Information
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NPI Number | 1508728247
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Entity Type | Organization
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Legal Business Name | CHICAGO DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY LTD
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 HIGHLAND PKWY STE 325
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5670
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Country | US
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Telephone | 615-293-2258
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NOAH ROBERT SCHWIND
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Credential | MD
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Telephone | 614-746-0705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 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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