| NPI | 1023444890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN SAGE Member Manager 773-772-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-26 |