| Summit Radiology, LLC | |
|
3849 N. Perryville Road Rockford IL 61114 | |
| (815) 654-2486 | |
| (815) 654-2680 |
| Full Name | Summit Radiology, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3849 N. Perryville Road, Rockford, Illinois |
| Authorized Official Name and Position | Martin A. Urban (PRESIDENT) |
| Authorized Official Contact | 8156542486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Radiology, LLC 3849 N. Perryville Road Rockford IL 61114 Ph: (815) 654-2486 | Summit Radiology, LLC 3849 N. Perryville Road Rockford IL 61114 Ph: (815) 654-2486 |
| NPI Number | 1811401284 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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