| NPI | 1659376523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. METCALF Manager 815-284-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |