| NPI | 1871926568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BOURGORD Manager, Medical Staff Services 815-381-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2024-04-19 |