Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 5, 2013
License(s)
036139678 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 676 N SAINT CLAIR ST STE 800 | Chicago, IL 60611 | 312-926-2000 |
| MAILING | 680 N LAKE SHORE DR | Chicago, IL 60611-4546 | 312-926-9000 |
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