| NPI | 1053069559 |
|---|---|
| Doing Business As | PREMIER RADIOLOGY WOMEN'S MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NAOMI M CASSIN A VP, Provider Enrollment 312-724-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-12-14 |