Justice Med-Lab

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

JUSTICE MED-LAB

Practice address

9050 W 81St St
Justice, IL 60458-1350

Phone

(708) 594-3500

Fax

(708) 563-0916

NPI assigned

Jan 18, 2007

Last updated

Sep 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore Christou, M.D.

Title

Manager

Phone

(708) 563-0330

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1184777823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581350",
            "telephone_number": "708-594-3500",
            "fax_number": "708-563-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581350",
            "telephone_number": "708-594-3500",
            "fax_number": "708-563-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE MED-LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTOU",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-563-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01629954",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indian Springs SCH Dist 109
• James a. Gianfrancisco MD LTD
• Tricia G James, LCSW
• Megan Jurgel, RDN
• Justice Med Lab
• Samrah Kelly
• Cheng H Lin
• Madhavi Gadde DMD LTD
• Subhan Manzoor, DDS
• Kali Marie Martin, MS SLP-CCC

• Diagnostic Radiology Physician in Justice, IL
• Providers in Justice, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.