| NPI | 1003226960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJAD ALI SAFVI Medical Director 630-650-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036099445) |
| Additional Taxonomies | 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036-099445) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-07-06 |