| NPI | 1932192622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE GUSMANO Vice President 618-257-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: IL IL-01836-01) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-07-18 |