| NPI | 1174644389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG S LEE Owner 219-322-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036049568) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |