Provider Demographics
NPI:1033513262
Name:DHK RADIOLOGY LLC
Entity type:Organization
Organization Name:DHK RADIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-691-7673
Mailing Address - Street 1:55 E ERIE ST
Mailing Address - Street 2:APT 2203
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2798
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 E ERIE ST
Practice Address - Street 2:APT 2203
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2798
Practice Address - Country:US
Practice Address - Phone:847-691-7673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL10627092085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty