| NPI | 1992962682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMS U SIDDIQUI CEO 847-626-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2015-01-25 |