FT. JESSE IMAGING CENTER LLC

NORMAL, IL
NPI1245287143
Entity TypeOrganization
Authorized ContactAMY STOUT
President/CEO
615-261-2306
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies261QR0200X Clinic/Center, Radiology
(Licence: IL  9256804)
261QR0206X Clinic/Center, Radiology, Mammography
(Licence: IL  9256804)
Enumeration Date2006-05-27
Last Update Date2024-10-21
Business Address
FT. JESSE IMAGING CENTER LLC
2200 FORT JESSE RD SUITE 130
NORMAL, IL 61761-6286
Phone number: 309-454-5552
Mailing Address
FT. JESSE IMAGING CENTER LLC
2200 FORT JESSE RD SUITE 130
NORMAL, IL 61761-6286
Phone number: 309-454-5552