Provider Demographics
NPI:1376535815
Name:RADIOLOGY & NUCLEAR CONSULTANTS LTD
Entity Type:Organization
Organization Name:RADIOLOGY & NUCLEAR CONSULTANTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-923-4000
Mailing Address - Street 1:7808 W COLLEGE DR
Mailing Address - Street 2:RADIOLOGY & NUCLEAR CONSULTANTS LTD
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1095
Mailing Address - Country:US
Mailing Address - Phone:708-448-6300
Mailing Address - Fax:708-448-6350
Practice Address - Street 1:12251 S 80TH AVE
Practice Address - Street 2:PALOS COMMUNITY HOSPITAL
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1256
Practice Address - Country:US
Practice Address - Phone:708-923-4000
Practice Address - Fax:708-923-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL771240Medicare ID - Type UnspecifiedGROUP NUMBER