NPI | 1972025989 |
---|---|
Doing Business As | PREMIER RADIOLOGY - LENOX VILLAGE |
Entity Type | Organization |
Authorized Contact | NAOMI M CASSIN A VP, Provider Enrollment 312-724-8477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2017-07-11 |
Last Update Date | 2022-12-14 |