| NPI | 1821023391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA KOULIEV President 312-482-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: RDMS 95906) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |