| NPI | 1629049952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE A TRESCHUK-BAHN President 618-242-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 060006998) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |