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NPI Code Detail

MEDICARE: GARCIA RADIOLOGY PC

MEDICARE: GARCIA RADIOLOGY PC
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 : 1639295108
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARCIA RADIOLOGY PC
Provider Business Mailing Address
First Line : PO BOX 249
Second Line :
City : WINNETKA
State : IL
Zip : 60093-0249
Country : US
Telephone Number : 773-772-1212
Fax Number : 773-772-8666
Provider Business Practice Location Address
First Line : 3538 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2443
Country : US
Telephone Number : 773-772-1212
Fax Number : 773-772-8666
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAMON ANDRES GARCIA
Credential : MD
Telephone Number : 773-772-1212
Provider Enumeration Date : 03/22/2007
Last Update Date : 08/22/2020

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Directions to “GARCIA RADIOLOGY PC ” Practice Location

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