| NPI | 1902896236 |
|---|---|
| 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 | 2085N0700X Radiology, Neuroradiology |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2022-06-21 |