Organization · Type 2 NPI
Clinical Radiologists, S.c.
Diagnostic Radiology Physician · Edwardsville, IL
NPI number
1700219482
Active
Practice location
805 Saint Louis St
Edwardsville, IL 62025-1428
Mailing address
3050 Montvale Dr
Springfield, IL 62704-4290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1700219482
Clinical Radiologists, S.c.'s National Provider Identifier is 1700219482, issued on Aug 16, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edwardsville, IL. The record was last updated on Aug 16, 2013.