| NPI | 1497942478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEOFILA GONZALES MESINA Administrator 773-622-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IL 500497085) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-04-20 |