NPI | 1003857061 |
---|---|
Entity Type | Organization |
Authorized Contact | REVATHI SWAMINATHAN Owner 309-671-8749 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036062991) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-12-04 |