| NPI | 1265626436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TUCKER Director 630-755-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2017-10-19 |