| NPI | 1831435841 |
|---|---|
| Doing Business As | PRESENCE NORTHSHORE PHYSICIANS GROUP ADVANCED IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Manager, Credentialing & Provider R 630-914-2417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-03-12 |