NPI | 1235187394 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER LEIGH HEBERT President 815-432-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: IL 500490704) |
Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: IL 500490704) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2012-02-08 |