THE CARBONDALE CLINIC RADIOLOGY
NPI 1285790519
Radiology - Diagnostic Radiology in Carbondale, IL

Q: What is The Carbondale Clinic Radiology's NPI number?

The NPI number for The Carbondale Clinic Radiology is 1285790519. It was assigned to this organization in the NPPES registry on December 29, 2006.

Q: What is The Carbondale Clinic Radiology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since December 29, 2006

2601 W MAIN ST, CARBONDALE, IL 62901(618) 457-5200(618) 549-5128 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Carbondale Clinic Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE CARBONDALE CLINIC RADIOLOGY (NPI 1285790519) is a healthcare organization registered as a diagnostic radiology in Carbondale, Illinois and active in the NPI registry since December 2006. The organization lists Allan N Norman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1285790519

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameTHE CARBONDALE CLINIC RADIOLOGY

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing Address2601 W Main StCarbondale, IL 62901-1031 · (618) 457-5200 · Fax (618) 549-5128

Phone(618) 457-5200

Fax(618) 549-5128

Organization SubpartYesParent: The Carbondale Clinic, S.c.

Authorized OfficialAllan N NormanChief Executive Officer · (618) 457-5200

Enumeration DateDecember 29, 2006

Last NPPES UpdateMay 8, 2008

✔ NPI 1285790519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2601 W MAIN ST, Carbondale, IL 62901

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Other Identifiers 7

Other614350IL · Legacy

Other196090IL · Ghp

Other044651IL · Hamp

Other464790IL · Healthlink

Medicare PIN140236IL

Other690006448IL · Rr Medicare

Medicaid=========009IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)