NPI | 1740404425 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON C BIRNHOLZ Doctor 630-954-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: IL 36-065383) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2011-05-24 |