| NPI | 1265855761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAH A ALAM Medical Director 630-613-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IL 036.114268) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |