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 |