| NPI | 1104378942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SARKA Credentialing Specialist 630-928-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |