| NPI | 1215984745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L DESROSIERS Member 847-995-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 5532-4134) |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2012-02-01 |