| NPI | 1639451297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI NASSAR Manager 708-481-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-12-02 |