MIDWEST DIAGNOSTIC MANAGEMENT, LLC

MOKENA, IL
NPI1003933920
Entity TypeOrganization
Authorized ContactJON KNIPPER
Chief Operating Officer
708-478-6434
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2007-03-24
Last Update Date2008-12-10
Business Address
MIDWEST DIAGNOSTIC MANAGEMENT, LLC
19065 HICKORY CREEK PL SUITE 240
MOKENA, IL 60448-8507
Phone number: 708-478-6417
Mailing Address
MIDWEST DIAGNOSTIC MANAGEMENT, LLC
19065 HICKORY CREEK PL SUITE 240
MOKENA, IL 60448-8507
Phone number: 708-478-6417
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