| NPI | 1083052757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE A CHARLETTA Owner 312-315-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036072329) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |