NPI | 1649405200 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST A CONTI Lead Physician 815-759-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2009-05-26 |
Last Update Date | 2013-06-19 |