| NPI | 1710016290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA GREEN President 847-494-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036120986) |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036074107) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036105010) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036110490) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036126885) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036108313) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036087491) | |
| 261QR0208X Clinic/Center Radiology, Mobile (Licence: IL 036099445) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-02-10 |