| NPI | 1053571208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAFER ALI KHAN Director 224-636-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 247100000X Radiologic Technologist | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-02-24 |