| NPI | 1518109552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN M SLATTERY Billing Manager 708-429-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: IL 036073542) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |