| NPI | 1376665224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SABITOSRA Owner 815-988-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-05-01 |