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NPI Code Detail

MEDICARE: AURORA RADIOLOGY CONSULTANTS, S.C.

MEDICARE: AURORA RADIOLOGY CONSULTANTS, S.C.
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 PhysicianIL

General Provider Information

NPI Number : 1053310417
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA RADIOLOGY CONSULTANTS, S.C.
Provider Business Mailing Address
First Line : 1200 HARGER ROAD
Second Line : SUITE 408
City : OAK BROOK
State : IL
Zip : 60523
Country : US
Telephone Number : 630-581-6504
Fax Number :
Provider Business Practice Location Address
First Line : 1325 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1449
Country : US
Telephone Number : 630-859-2222
Fax Number :
Authorized Official
Title or Position : AUTHORIZED SIGNER
Name : JAMES STUDLO
Credential : MD
Telephone Number : 630-581-6504
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/21/2022

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Directions to “AURORA RADIOLOGY CONSULTANTS, S.C. ” Practice Location

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