| NPI | 1053615021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J THEODORE KING Owner 630-725-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 42646) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |