| NPI | 1164780144 |
|---|---|
| Doing Business As | PRESENCE ADVANCED IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-05-29 |