| NPI | 1164614772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R KINCAID Manager 847-213-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2025-06-27 |