SOUTHWEST RADIOLOGIST JOINT VTR – Diagnostic Radiology Physician, NPI 1316989973

SOUTHWEST RADIOLOGIST JOINT VTR is a healthcare provider. based in Blue island, Illinois. specializing in Diagnostic Radiology Physician. The organization holds a License No. ========= (IL). The NPI Number for SOUTHWEST RADIOLOGIST JOINT VTR is 1316989973

Main info

Organization
Name
SOUTHWEST RADIOLOGIST JOINT VTR
NPI
1316989973
Phone
(708) 388-0423
Address
3300 127TH ST
Authorized Official
MRS. PATTY MANCUSO OFFICE MANAGER
Enumeration Date
11 June 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHWEST RADIOLOGIST JOINT VTR

  • 127th Street, Blue Earth County, Minnesota, United States

    2ND FLOOR

    BLUE ISLAND, IL 604063802

    Phone: (708) 388-0423

    Fax: (708) 388-1477

    Type: Mailing

  • 5550, West 111th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604535012

    Phone: (708) 636-0633

    Fax: (708) 636-0689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60406)

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Reviews

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Frequently asked questions

How is SOUTHWEST RADIOLOGIST JOINT VTR identified in CMS data?
CMS-hosted NPPES data lists SOUTHWEST RADIOLOGIST JOINT VTR with NPI 1316989973.
Does the file indicate SOUTHWEST RADIOLOGIST JOINT VTR is practicing under active NPI?
Directory data currently reports SOUTHWEST RADIOLOGIST JOINT VTR as active.
What is SOUTHWEST RADIOLOGIST JOINT VTR's specialty?
The listing groups SOUTHWEST RADIOLOGIST JOINT VTR with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SOUTHWEST RADIOLOGIST JOINT VTR on a map?
Expect Blue Island, Illinois as a primary anchor for SOUTHWEST RADIOLOGIST JOINT VTR unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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