| NPI | 1861836835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M STEMM Practice Manager 815-397-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2015-03-17 |