| NPI | 1598259996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SPRINGER Director 773-723-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-04-06 |