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NPI Code Detail

MEDICARE: PHYSICIAN DIAGNOSTIC AND PATHOLOGY

MEDICARE: PHYSICIAN DIAGNOSTIC AND PATHOLOGY
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 Physician
2207ZC0006XClinical Pathology Physician

General Provider Information

NPI Number : 1497199350
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN DIAGNOSTIC AND PATHOLOGY
Provider Business Mailing Address
First Line : 10400 SOUTHWEST HWY
Second Line : LOWER LEVEL
City : CHICAGO RIDGE
State : IL
Zip : 60415-1367
Country : US
Telephone Number : 708-590-8770
Fax Number : 708-428-4277
Provider Business Practice Location Address
First Line : 7530 W COLLEGE DR
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1196
Country : US
Telephone Number : 708-361-8162
Fax Number : 708-361-8173
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT S FIRLIT
Credential : M.D.
Telephone Number : 708-361-0840
Provider Enumeration Date : 04/23/2013
Last Update Date : 05/06/2013

Similar Medicare Providers

1831164896 — DR. JOAN MARIE MCELLIGOTT D.O.
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-6714
Practice Fax: 708-361-9514
1740361633 — DR. JAMES J STRZYZ MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1538240429 — DR. JAY P STEINBERG MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1265513253 — DR. ROBERT S FIRLIT MD
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0840
Practice Fax: 708-361-9342
1659435899 — PETER J. MCDONNELL M.D. SC
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-923-6605
Practice Fax: 708-923-0705
1467581801 — VINOD KUMAR SONI M.D.
Practice Location Address:
7530 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-448-0016
Practice Fax: 708-923-0705
1245428374 — PALOS HEIGHTS MEDICAL CENTER
Practice Location Address:
7530 W COLLEGE DR , SUITE C
PALOS HEIGHTS, IL
60463-1196
Practice Phone: 708-361-0911
Practice Fax:

Directions to “PHYSICIAN DIAGNOSTIC AND PATHOLOGY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.