| NPI | 1831865880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI M CASSIN A VP, Provider Enrollment 312-724-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2022-09-21 |