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SOUTHWEST RADIOLOGIST JOINT VTR
NPI 1316989973
Radiology - Diagnostic Radiology in Oak Lawn, IL

Active since June 11, 2006
5550 W 111TH ST, OAK LAWN, IL 60453(708) 636-0633(708) 636-0689 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Southwest Radiologist Joint Vtr NPPES

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

SOUTHWEST RADIOLOGIST JOINT VTR (NPI 1316989973) is a healthcare organization registered as a diagnostic radiology in Oak Lawn, Illinois and active in the NPI registry since June 2006. The organization lists Patty Mancuso, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316989973
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHWEST RADIOLOGIST JOINT VTR
Location Address5550 W 111TH STOak Lawn, IL 60453-5012
Mailing Address3300 127th St, 2nd FloorBlue Island, IL 60406-3802 · (708) 388-0423 · Fax (708) 388-1477
Phone(708) 636-0633
Fax(708) 636-0689
Organization SubpartNo
Authorized OfficialPatty MancusoOffice Manager · (708) 388-0423
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1316989973 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.
5550 W 111TH ST, Oak Lawn, IL 60453
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Other Identifiers 2

OtherCB4562IL · Travelers Medicare Grp
Other01617844IL · Bcbs Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JENNIFER JANE RABCHUK FNP
Nurse Practitioner (Family)
5550 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 974-7377
SOUTHWEST HOSPITALS MRI, INC.
Clinic/Center (Magnetic Resonance Imaging (MRI))
5550 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Radiologist Joint Vtr's NPI number?

The NPI number for Southwest Radiologist Joint Vtr is 1316989973. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Southwest Radiologist Joint Vtr located?

Southwest Radiologist Joint Vtr is located at 5550 W 111th St, Oak Lawn, IL 60453. The listed phone number is (708) 636-0633.

What is Southwest Radiologist Joint Vtr's specialty?

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

When was this NPI record last updated?

The NPPES record for Southwest Radiologist Joint Vtr was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.