OrganizationActive
Southwest Radiologist Joint Vtr
NPI 1316989973 · Diagnostic Radiology Physician · Oak Lawn, IL
Provider details
- NPI number
- 1316989973
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patty Mancuso, Office Manager(708) 388-0423
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5550 W 111th St
Oak Lawn, IL 60453-5012
Phone: (708) 636-0633
Fax: (708) 636-0689
Street-level locationGet directions
Mailing address
3300 127th St
Blue Island, IL 60406-3802
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.