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 |