| NPI | 1356310163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY MEHTA President 847-742-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036062431) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: IL 036062431) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036062431) | |
| 207U00000X Nuclear Medicine (Licence: IL 036062431) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-06-01 |