| NPI | 1982119319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SARKA Credentialing Consultant 630-928-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-20 |