| NPI | 1346337565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO BANNON Office Manager 708-386-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 042000417) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2008-02-05 |