| NPI | 1619368834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN URBAN President 815-397-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |