| NPI | 1073120820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAYR NIAZI Manager 847-278-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |