Provider profile

Individual

Jonathan Wyatt Bold

Radiology in Oak Lawn, IL. NPI 1053390021, listed in the CMS NPI Registry since 01/10/2006. Bills Medicare.

NPI 1053390021Specialty RadiologyEnumerated 01/10/2006
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Registry and Medicare facts

Practice location
4440 W 95th St, Oak Lawn, IL 60453
CMS NPI Registry
Phone
(708) 684-6949
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
01/10/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,187 Part B
CMS Medicare 2024

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