| NPI | 1649769746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KIM Manager 847-929-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-06-27 |