| NPI | 1992879126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL L LOWE Accounting Clerk 815-431-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: IL 9032426) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |